TRISTAN SHAE FORTNER

LONDON, OH
NPI1558977751
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OH  C.2304908-TRNE)
Enumeration Date2020-09-22
Last Update Date2024-02-20
Business Address
TRISTAN SHAE FORTNER BS, RBT
1375 US HIGHWAY 42 SE STE C
LONDON, OH 43140-9548
Phone number: 614-879-8067
Mailing Address
TRISTAN SHAE FORTNER BS, RBT
1375 US HIGHWAY 42 SE STE C
LONDON, OH 43140-9548
Phone number: 614-879-8067
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