Individual
ANGELA FULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
5700 N PORTLAND AVE STE 310, OKLAHOMA CITY, OK 73112-1648
(405) 602-2984
Mailing address
5700 N PORTLAND AVE STE 310, OKLAHOMA CITY, OK 73112-1648
(405) 602-2984
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4297
OK
Other
Enumeration date
01/17/2007
Last updated
03/28/2016
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