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Individual

DARRIN FULKERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
55 ELM ST, GLENS FALLS, NY 12801-3670
(518) 793-7273
(518) 798-5004
Mailing address
65B WERNER RD, HALFMOON, NY 12065-3418

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
29379
NY

Other

Enumeration date
05/19/2022
Last updated
06/28/2024
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