Individual
JACQUELINE FULMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED
Contact information
Practice address
720 E PARK BLVD STE 204, PLANO, TX 75074-8802
(469) 342-3468
Mailing address
3011 ASPEN WAY, MELISSA, TX 75454-2649
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/16/2023
Last updated
11/16/2023
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