Individual
DR. RICHARD HARRY FULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
9140 GOLFSIDE DR, SUITE 4 S, JACKSONVILLE, FL 32256-1881
(904) 730-7575
Mailing address
9140 GOLFSIDE DR, SUITE 4 S, JACKSONVILLE, FL 32256-1881
(904) 730-7575
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT1278
FL
Other
Enumeration date
11/21/2006
Last updated
07/08/2007
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