Individual provider · Type 1 NPI

Mary Alice Fulghum, LMFT, L.P.C.

Marriage & Family Therapist · Jacksonville, FL

NPI number 1831273275 Active

Practice location

9791 Old Saint Augustine Rd
Jacksonville, FL 32257-6035

Call (904) 762-4040 Map

Fax (904) 238-5078

Mailing address

11996 Lazarette Ct
Jacksonville, FL 32258-1197

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XMT 2553 (FL)
Professional Counselor 101YP2500X929 (MS)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

Other marriage & family therapist providers in Jacksonville

See all in Jacksonville →

About NPI 1831273275

Mary Alice Fulghum, LMFT, L.P.C.'s National Provider Identifier is 1831273275, issued on Oct 24, 2006. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Jacksonville, FL. The record was last updated on May 21, 2012.