Individual provider · Type 1 NPI

Michelle Lynn Fulkerson, MHC

Mental Health Counselor · Ithaca, NY

NPI number 1457197683 Active

Practice location

201 E Green St
Ithaca, NY 14850-5635

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor Primary	101YM0800X	017601 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1457197683

Michelle Lynn Fulkerson, MHC's National Provider Identifier is 1457197683, issued on Jul 8, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ithaca, NY. The record was last updated on Mar 3, 2026.