Individual provider · Type 1 NPI

Stacey D. Fulmer

Counselor · Indiana, PA

NPI number 1104295260 Active

Practice location

793 Old Route 119 Hwy N.
Indiana, PA 15701-1372

Call (724) 465-5576 Map

Fax (724) 465-6379

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 1104295260

Stacey D. Fulmer's National Provider Identifier is 1104295260, issued on Sep 18, 2015. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Indiana, PA. The record was last updated on Sep 18, 2015.