Individual provider · Type 1 NPI

Jeffrey Ray Fulkerson, M ED, MS, LAC, LPC

Professional Counselor · Tempe, AZ

NPI number 1417457623 Active

Practice location

3920 S Rural Rd Ste 112
Tempe, AZ 85282-5500

Fax (480) 680-5361

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC-21211 (AZ)

Professional Counselor: Definition to come...

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About NPI 1417457623

Jeffrey Ray Fulkerson, M ED, MS, LAC, LPC's National Provider Identifier is 1417457623, issued on Feb 14, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Tempe, AZ. The record was last updated on Dec 22, 2023.