Individual provider · Type 1 NPI

Madeline Noel Fults, CIT

Addiction (Substance Use Disorder) Counselor · Pine Bluff, AR

NPI number 1962896217 Active

Practice location

2304 W 29th Ave, Suite 1
Pine Bluff, AR 71603-5005

Fax (870) 671-4847

Mailing address

PO Box 21203
White Hall, AR 71612-1203

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1962896217

Madeline Noel Fults, CIT's National Provider Identifier is 1962896217, issued on Mar 25, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Pine Bluff, AR. The record was last updated on Mar 25, 2015.