Individual
NATALIE FULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPCC
Contact information
Practice address
200 4TH AVE W, 300, SHAKOPEE, MN 55379-1220
(952) 496-8394
Mailing address
200 4TH AVE W, 300, SHAKOPEE, MN 55379-1220
(952) 496-8394
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC00812
MN
Other
Enumeration date
08/13/2014
Last updated
08/13/2014
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