Organization
FULLINGTON COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREL ANN FULLINGTON MA (PSYCHOTHERAPIST)
(206) 612-0665
Entity
Organization
Contact information
Practice address
630 SW 149TH ST, SUITE 101, BURIEN, WA 98166-1901
(206) 612-0665
(206) 244-0235
Mailing address
630 SW 149TH ST, SUITE 101, BURIEN, WA 98166-1901
(206) 612-0665
(206) 244-0253
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LH60544439
WA
Other
Enumeration date
05/12/2015
Last updated
05/12/2015
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