| Tristan Shae Fortner, BS, RBT | |
|
1375 Us Highway 42 Se, Ste C, London, OH 43140-9548 | |
| (614) 879-8067 | |
| (614) 503-0899 |
| Full Name | Tristan Shae Fortner |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 1375 Us Highway 42 Se, London, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558977751 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | C.2304908-TRNE (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tristan Shae Fortner, BS, RBT 1375 Us Highway 42 Se, Ste C, London, OH 43140-9548 Ph: (614) 879-8067 | Tristan Shae Fortner, BS, RBT 1375 Us Highway 42 Se, Ste C, London, OH 43140-9548 Ph: (614) 879-8067 |
Lacherria Aubrey, QMHSBA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1375 Us Highway 42 Se, Ste C, London, OH 43140 Phone: 614-879-8067 Fax: 614-503-0899 | |
Hannah Kay Miller, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1375 Us Highway 42 Se Ste C, London, OH 43140 Phone: 740-845-8652 | |
Daniel C Maust, MED LPCC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 1375 Us Highway 42 Se, Suite C, London, OH 43140 Phone: 740-845-8652 Fax: 614-503-0899 | |
Stephie L Hughes, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1375 Us Highway 42 Se, Ste C, London, OH 43140 Phone: 714-879-8067 Fax: 614-503-0899 | |
Joshua Hamrick, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1375 Us Highway 42 Se Ste C, London, OH 43140 Phone: 740-845-8652 | |
Kathleen Arthur, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1375 Us Highway 42 Se Ste C, London, OH 43140 Phone: 740-845-8652 | |
Jennifer Howard, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1851 Oh-56, London, OH 43140 Phone: 740-852-9777 |