XIARIA FORTENBERRY

COLUMBIA, MS
NPI1982465605
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: MS  6200)
Enumeration Date2024-01-19
Last Update Date2024-01-19
Business Address
XIARIA FORTENBERRY PCMHT
217 DEWEY ST
COLUMBIA, MS 39429-2751
Phone number: 601-736-6799
Mailing Address
XIARIA FORTENBERRY PCMHT
PO BOX 18679
HATTIESBURG, MS 39404-8679
Phone number: 601-705-1901
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