Lookup NPI Numbers from the NPI Registry
NPI Profile for JOY J FORTNER EDRIS in GREENVILLE, SC.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Addiction (Substance Use Disorder) |
103TA0400X | 62 | Psychologist, Clinical | |
Addiction (Substance Use Disorder) |
101YA0400X | |||
Marriage & Family Therapist |
106H00000X |
| NPI Number | 1740546225 |
|
| Status | Active | |
| Credentials | LPC, LMFT, CACP | |
| Entity | Individual | |
| Enumeration date | 04/09/2012 | |
| Last updated | 03/12/2015 - About 11 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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JOY J FORTNER EDRIS
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JOY J FORTNER EDRIS, LPC, LMFT, CACP