Individual
CYNTHIA FULKERTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
124 W GATES ST STE 203, BRUCE TWP, MI 48065-4493
(586) 336-0422
Mailing address
7149 RIVERBEND CT, WASHINGTON TWP, MI 48094-2183
(586) 322-2809
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401017400
MI
Other
Enumeration date
10/22/2020
Last updated
10/22/2020
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