Individual
ELLE KATHRYN-FORBES FULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3225 N CIVIC CENTER PLZ STE 6, SCOTTSDALE, AZ 85251-6919
(480) 313-4535
Mailing address
1012 W INDIGO ST, MESA, AZ 85201-2049
(480) 313-4535
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-18277
AZ
Other
Enumeration date
10/26/2019
Last updated
04/29/2026
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