KATHY LEE FORTNER

MYRTLE BEACH, SC
NPI1740319060
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: SC  4632)
Enumeration Date2007-03-04
Last Update Date2020-07-22
Business Address
Ms. KATHY LEE FORTNER Ed.S, LPC
1107 48TH AVE N
MYRTLE BEACH, SC 29577-5443
Phone number: 843-240-9446
Mailing Address
Ms. KATHY LEE FORTNER Ed.S, LPC
PO BOX 7139
MYRTLE BEACH, SC 29572-0007
Phone number: 843-240-9446
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