Individual
DAVID FULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
7428 HIGHLAND LICK RD, ELKTON, KY 42220-8926
(270) 445-0330
Mailing address
7428 HIGHLAND LICK RD, ELKTON, KY 42220-8926
(270) 445-0330
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0718
KY
Other
Enumeration date
01/13/2015
Last updated
01/13/2015
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