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Individual

COLETTE FULTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
EDS, MS, LMHC

Contact information

Practice address
5638 PROFESSIONAL CIR, INDIANAPOLIS, IN 46241-5042
(317) 247-8900
(317) 247-8935
Mailing address
6130 GUILFORD AVE, INDIANAPOLIS, IN 46220-1940

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39002575A
IN

Other

Enumeration date
04/19/2010
Last updated
02/14/2014
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