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
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None 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.