Individual
KATHARINE PAIGE FULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGPC, LGADC
Contact information
Practice address
1406 CRAIN HWY S, GLEN BURNIE, MD 21061-4058
(410) 766-6624
Mailing address
915 JACKSON ST, ANNAPOLIS, MD 21403-2112
(707) 326-0854
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
08/29/2011
Last updated
04/07/2020
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