Individual
REBECCA NAOMI FULMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
8328 TRAFORD LN STE C, SPRINGFIELD, VA 22152-1667
(610) 310-5164
Mailing address
8328 TRAFORD LN STE C, SPRINGFIELD, VA 22152-1667
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0701009557
VA
Other
Enumeration date
02/10/2022
Last updated
02/10/2022
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