Individual provider · Type 1 NPI

McKenzie Fulton

Professional Counselor · Berea, OH

NPI number 1619225745 Active

Practice location

202 E Bagley Rd
Berea, OH 44017-2058

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XS0500620 (OH)

Professional Counselor: Definition to come...

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About NPI 1619225745

McKenzie Fulton's National Provider Identifier is 1619225745, issued on Aug 21, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Berea, OH. The record was last updated on Aug 21, 2012.