Individual provider · Type 1 NPI

Lavell Fulks

Counselor · Boston, MA

NPI number 1104250075 Active

Practice location

317 Blue Hill Ave
Boston, MA 02121-4302

Mailing address

10 Orlando St
Boston, MA 02126-1700

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1104250075

Lavell Fulks's National Provider Identifier is 1104250075, issued on Aug 28, 2013. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Boston, MA. The record was last updated on Aug 28, 2013.