Individual provider · Type 1 NPI

Darrick Fullwood Jr.

Mental Health Counselor · Anchorage, AK

NPI number 1891475661 Active

Practice location

4600 Debarr Rd
Anchorage, AK 99508-3103

Mailing address

8310 Kronos Dr # 1
Anchorage, AK 99502-7251

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1891475661

Darrick Fullwood Jr.'s National Provider Identifier is 1891475661, issued on Jul 18, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Anchorage, AK. The record was last updated on Jul 18, 2023.