Individual provider · Type 1 NPI

Kristina Fuller, LPCC

Mental Health Counselor · Bowling Green, KY

NPI number 1700202272 Active

Practice location

1048 Ashley St
Bowling Green, KY 42103-2449

Fax (270) 904-6570

Mailing address

431 Claypool Boyce Rd
Alvaton, KY 42122-8732

Other practice locations

  • 431 Claypool Boyce Rd, Alvaton, KY 42122-8732 · (270) 791-8189

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XKY0572 (KY)
Mental Health Counselor Primary 101YM0800X104177 (KY)

Mental Health Counselor: Definition to come...

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About NPI 1700202272

Kristina Fuller, LPCC's National Provider Identifier is 1700202272, issued on Mar 8, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bowling Green, KY. The record was last updated on Jul 15, 2019.