Individual provider · Type 1 NPI
Anita Lynne Fulmer, LCDC
Addiction (Substance Use Disorder) Counselor · Fort Worth, TX
NPI number
1386255453
Active
Practice location
6270 Salem Cir Apt 120
Fort Worth, TX 76132-3003
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 12505 (TX) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1386255453
Anita Lynne Fulmer, LCDC's National Provider Identifier is 1386255453, issued on Aug 12, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fort Worth, TX. The record was last updated on Aug 12, 2020.