MR. JACK L. FORTENBERRY (LMSW) – Counselor, NPI 1023155645
Counselor
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MR. JACK L. FORTENBERRY (LMSW)
PO BOX 695
CHOCTAW, OK 730200695
Phone: (405) 390-8131
Fax: (405) 390-8134
Type: Mailing
14625, Northeast 23rd Street, Choctaw, Oklahoma County, Oklahoma, 73020, United States
CHOCTAW, OK 73020
Phone: (405) 390-8131
Fax: (405) 390-8134
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 73020)
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