Individual
MR. JEFFREY RAY FULKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M ED, MS, LAC, LPC
Contact information
Practice address
3920 S RURAL RD STE 112, TEMPE, AZ 85282-5500
(480) 428-2944
(480) 680-5361
Mailing address
3920 S RURAL RD STE 112, TEMPE, AZ 85282-5500
(480) 428-2944
(480) 680-5361
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-21211
AZ
Other
Enumeration date
02/14/2018
Last updated
12/22/2023
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