Individual
MRS. CHRISTI FULWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.C., N.C.C.
Contact information
Practice address
3309 S KINGSHIGHWAY BLVD, SAINT LOUIS, MO 63139-1101
(314) 534-9350
Mailing address
2625 S KINGSHIGHWAY BLVD, SAINT LOUIS, MO 63139-1003
(314) 776-1228
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
1600
TN
101YP2500X
Professional Counselor
Primary
2007008630
MO
Other
Enumeration date
09/05/2007
Last updated
09/05/2007
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