Individual
DANIELLE FULKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1511 WESTPORT RD, KANSAS CITY, MO 64111-4307
(913) 204-0253
Mailing address
PO BOX 19599, LENEXA, KS 66285-9599
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
03139
KS
106H00000X
Marriage & Family Therapist
Primary
2019042263
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
490081637
—
MO
Enumeration date
07/25/2019
Last updated
03/25/2025
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