Individual
MICHAEL NICHOLAS FATULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
85 SANGERS LN, STAUNTON, VA 24401-6712
(540) 887-3200
(540) 887-3258
Mailing address
85 SANGERS LN, STAUNTON, VA 24401-6712
(540) 887-3200
(540) 887-3258
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701006261
VA
Other
Enumeration date
09/16/2015
Last updated
09/16/2015
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