Individual
KATELYNN S FULLMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
2659 PEERY AVE, KANSAS CITY, MO 64127-1300
(816) 554-4391
Mailing address
1555 NE RICE RD, LEES SUMMIT, MO 64086-5849
(816) 966-0900
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2025010378
MO
Other
Enumeration date
03/31/2025
Last updated
07/21/2025
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