Individual provider · Type 1 NPI

Samantha Fultz

Mental Health Counselor · Claremore, OK

NPI number 1679926026 Active

Practice location

12005 E 470 Rd
Claremore, OK 74017-3737

Fax (918) 342-0087

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1679926026

Samantha Fultz's National Provider Identifier is 1679926026, issued on Jul 21, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Claremore, OK. The record was last updated on Jan 16, 2017.