Individual provider · Type 1 NPI

Susan Patricia Fullerton, LPCC

Professional Counselor · St. Paul, MN

NPI number 1396123196 Active

Practice location

2060 Centre Pointe Blvd
St. Paul, MN 55120-1269

Call (651) 774-0011 Map

Fax (651) 774-0606

Mailing address

830 Boone Ave N
Golden Valley, MN 55427-4568

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XCC00976 (MN)

Professional Counselor: Definition to come...

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About NPI 1396123196

Susan Patricia Fullerton, LPCC's National Provider Identifier is 1396123196, issued on May 12, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in St. Paul, MN. The record was last updated on May 12, 2015.