Individual provider · Type 1 NPI

Emerick Fulton

Mental Health Counselor · Peoria, IL

NPI number 1750130571 Active

Practice location

719 W Lake Ave
Peoria, IL 61614-5941

Mailing address

9821 Ashbury Ct
Hanna City, IL 61536-9690

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1750130571

Emerick Fulton's National Provider Identifier is 1750130571, issued on May 14, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Peoria, IL. The record was last updated on May 14, 2024.