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Individual

JAMES PHILLIP FULTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LADC

Contact information

Practice address
2 TRAP FALLS RD, SHELTON, CT 06484-4616
(203) 816-6424
Mailing address
2 TRAP FALLS RD, SHELTON, CT 06484-4616
(203) 816-6424

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1546
CT
101YP2500X
Professional Counselor
5275
CT

Other

Enumeration date
11/29/2021
Last updated
03/28/2024
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