Individual
JOSEPH D. FULKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED.
Contact information
Practice address
1203 AMERICAN GREETING CARD RD, CORBIN, KY 40701-4811
(606) 528-7010
Mailing address
134 COMPREHENSIVE DR, HARLAN, KY 40831-1794
(606) 573-1624
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
KY
Other
Enumeration date
08/07/2018
Last updated
08/07/2018
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