Individual provider · Type 1 NPI

Amy Ellen Fullerton, MA. LLPC

Professional Counselor · Adrian, MI

NPI number 1346500915 Active

Practice location

738 S Main St, Ste 202
Adrian, MI 49221-3787

Mailing address

10678 Lawrence Rd
Brooklyn, MI 49230-9546

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XL2237191 (MI)

Professional Counselor: Definition to come...

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About NPI 1346500915

Amy Ellen Fullerton, MA. LLPC's National Provider Identifier is 1346500915, issued on May 17, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Adrian, MI. The record was last updated on May 17, 2012.