Individual
TIFFANY RENEE FULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BSW, CSAC
Contact information
Practice address
30 BAXTER DR STE 180, HARRISONBURG, VA 22801-7632
(540) 908-3917
Mailing address
131 BUCKBOARD RD, WAYNESBORO, VA 22980-9254
(540) 490-1684
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0710103070
VA
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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