Individual
CELIA JOYCE FULCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD LP
Contact information
Practice address
800 E 28TH ST., WASIE BUILDING 6TH FLOOR, MINNEAPOLIS, MN 55407
(612) 863-5327
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-9000
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP6826
MN
103TC1900X
Counseling Psychologist
—
—
Other
Enumeration date
05/17/2022
Last updated
12/05/2022
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