NPI | 1821774217 |
---|---|
Professional Name | CHANCEY FORT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MS 2996) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MS 2996) |
Enumeration Date | 2023-06-22 |
Last Update Date | 2025-01-07 |