Individual provider · Type 1 NPI

Brook Alexis Fulton-Delong, LCPC, NCC

Mental Health Counselor · Ellicott City, MD

NPI number 1407464688 Active

Practice location

8181 Main St Apt 2
Ellicott City, MD 21043-4929

Call (757) 651-3001 Map

Fax (757) 222-3833

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XLGP10581 (MD)
Mental Health Counselor Primary 101YM0800XLC12594 (MD)

Mental Health Counselor: Definition to come...

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About NPI 1407464688

Brook Alexis Fulton-Delong, LCPC, NCC's National Provider Identifier is 1407464688, issued on Jul 14, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ellicott City, MD. The record was last updated on Nov 16, 2022.