Individual provider · Type 1 NPI

Matthew A. Fultz

Mental Health Counselor · Tampa, FL

NPI number 1245005909 Active

Practice location

4520 Oak Fair Blvd
Tampa, FL 33610-7329

Mailing address

11705 Boyette Rd Ste 480
Riverview, FL 33569-5533

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1245005909

Matthew A. Fultz's National Provider Identifier is 1245005909, issued on Nov 21, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tampa, FL. The record was last updated on Nov 21, 2023.