Sharon Delee Fortson, MS, LPE-I Valid NPI
Individual provider · Psychoanalyst · Jacksonville, AR
- NPI
- 1861680852
- Type
- Individual (Type 1)
- Primary specialty
- Psychoanalyst
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 102L00000X
- License number
- 12-02EI (AR)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2007-10-04
- Last updated
- 2023-10-19
Practice location
8835 Dennette Rd
Jacksonville, AR 72076-8650
(501) 500-1389