Individual
EMILY FULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
435 CLARK RD, JACKSONVILLE, FL 32218-5596
(904) 765-0665
Mailing address
6142 LEONTYNE PRICE CT, JACKSONVILLE, FL 32209-1824
(904) 765-0665
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
CBHCM.0106468
FL
Other
Enumeration date
10/24/2013
Last updated
02/01/2025
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