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Organization

ARETHA FULCHER, LPC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ARETHA FULCHER LPC (OWNER/CEO)
(870) 253-6812
Entity
Organization

Contact information

Practice address
2200 FOWLER AVE, SUITE B, JONESBORO, AR 72401-6115
(870) 253-6812
(870) 520-6444
Mailing address
2200 FOWLER AVE, SUITE B, JONESBORO, AR 72401-6115
(870) 253-6812
(870) 520-6444

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
216561719
AR
Enumeration date
01/06/2017
Last updated
01/06/2017
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