Individual provider · Type 1 NPI

Roy A. Fullenkamp, PCC

Mental Health Counselor · Dayton, OH

NPI number 1891105904 Active

Practice location

601 S Edwin C Moses Blvd, 4th Floor, NW Bldg
Dayton, OH 45417-3424

Call (937) 734-8333 Map

Fax (937) 734-4343

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XE.0500332 (OH)

Mental Health Counselor: Definition to come...

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About NPI 1891105904

Roy A. Fullenkamp, PCC's National Provider Identifier is 1891105904, issued on Apr 29, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Dayton, OH. The record was last updated on Apr 29, 2014.