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Individual

BRANDI K FULGHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MCP, LPC

Contact information

Practice address
405 S OKLAHOMA AVE, CHEROKEE, OK 73728-2545
(580) 596-2800
(580) 596-2805
Mailing address
405 S OKLAHOMA AVE, CHEROKEE, OK 73728-2545
(580) 596-2800
(580) 596-2805

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3694
OK
101YP2500X
Professional Counselor
3694
OK

Other

Enumeration date
11/04/2009
Last updated
02/25/2025
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