Individual
BRIN FULTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
195 UNION ST STE B1, NEWARK, OH 43055-3998
(740) 349-7066
Mailing address
224 INDIANHEAD DR, HEATH, OH 43056-1410
(740) 641-7687
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
Primary
I.2507479
OH
Other
Enumeration date
03/24/2022
Last updated
04/07/2026
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