Individual
BETHANY L. FULTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
530 W UNION ST STE D, ATHENS, OH 45701-8303
(740) 591-6352
Mailing address
530 W UNION ST STE D, ATHENS, OH 45701-8303
(740) 591-6352
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C0800453
OH
Other
Enumeration date
01/11/2016
Last updated
01/11/2016
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