Individual
HILARY FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
506 HOPKINSVILLE ST, GREENVILLE, KY 42345-1104
(270) 338-5211
Mailing address
PO BOX 614, HOPKINSVILLE, KY 42241-0614
(270) 886-2205
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
06/20/2023
Last updated
06/21/2023
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