Whalio Doctors

NPI 1861680852

Sharon Delee Fortson, MSLPEI

Practitioner Psychoanalyst Jacksonville, AR

Practice location

Address
8835 Dennette Rd, Jacksonville, AR 72076-8650
Phone
(501) 500-1389
Fax
(949) 577-4838

Registered specialties (2)

Psychoanalyst Primary
Behavioral Health & Social Service Providers Taxonomy 102L00000X Licence 12-02EI (AR)
Mental Health Counselor
Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence 12-02EI (AR)

Registry record

NPI
1861680852
Entity type
Individual
Sex (as registered)
Female
NPI issued
4 Oct 2007
Record last updated
19 Oct 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.