Individual
JANET KATHLEEN FULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2224 W. 12TH STREET, STILLWATER, OK 74074
(405) 612-3196
(405) 377-3499
Mailing address
2224 W. 12TH STREET, STILLWATER, OK 74074
(405) 612-3196
(405) 377-3499
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2967
OK
101YM0800X
Mental Health Counselor
2967
OK
Other
Enumeration date
05/14/2007
Last updated
06/29/2010
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