Individual provider · Type 1 NPI

Jacqueline Fullwood

Counselor · Nashville, TN

NPI number 1649923582 Active

Practice location

2000 Glen Echo Rd Ste 101
Nashville, TN 37215-2857

Fax (615) 457-8595

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1649923582

Jacqueline Fullwood's National Provider Identifier is 1649923582, issued on Feb 1, 2022. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Nashville, TN. The record was last updated on Feb 1, 2022.