Individual provider · Type 1 NPI

Kondra Mia Fulmer

Professional Counselor · Alexandria, VA

NPI number 1659304384 Active

Practice location

4850 Mark Center Dr
Alexandria, VA 22311-1882

Call (703) 746-3400 Map

Mailing address

975 N Selomons Island, PO Box 980
Prince Frederick, MD 20678

Other practice locations

  • 975 N Selomons Island, Prince Frederick, MD 20678 · (410) 535-5400

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XLC2175 (MD)
Professional Counselor Primary 101YP2500X0701006170 (VA)

Professional Counselor: Definition to come...

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About NPI 1659304384

Kondra Mia Fulmer's National Provider Identifier is 1659304384, issued on Jul 8, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Alexandria, VA. The record was last updated on Jun 20, 2024.