| Mary Alice Fulghum, LMFT, LPC | |
|
9791 Old Saint Augustine Rd, Jacksonville, FL 32257-6035 | |
| (904) 762-4040 | |
| (904) 238-5078 |
| Full Name | Mary Alice Fulghum |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 9791 Old Saint Augustine Rd, Jacksonville, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831273275 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MT 2553 (Florida) | Primary |
| 101YP2500X | Counselor - Professional | 929 (Mississippi) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Alice Fulghum, LMFT, LPC 11996 Lazarette Ct, Jacksonville, FL 32258-1197 Ph: (904) 762-4040 | Mary Alice Fulghum, LMFT, LPC 9791 Old Saint Augustine Rd, Jacksonville, FL 32257-6035 Ph: (904) 762-4040 |
Dr. Tabitha Renee Johnson, PHD, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2950 Halcyon Ln, Suite #605, Jacksonville, FL 32223 Phone: 904-302-5340 Fax: 904-800-1211 | |
Evelyn Huntley, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 12627 San Jose Blvd Ste 203, Jacksonville, FL 32223 Phone: 904-625-0596 | |
Lisa Jeanine Parker Miller, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3027 San Diego Rd, Jacksonville, FL 32207 Phone: 904-493-7758 | |
Mrs. Rachel H Colavito, MS, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4595 Lexington Ave, Jacksonville, FL 32210 Phone: 904-783-2579 | |
Philip David Justice, Couples Therapy Medicare: Medicare Enrolled Practice Location: 6251 Philips Hwy Ste 4, Jacksonville, FL 32216 Phone: 904-256-4904 | |
Laura Daniel, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 6817 Southpoint Pkwy Ste 1304, Jacksonville, FL 32216 Phone: 904-298-6946 | |
Angelus Martin, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 435 Clark Rd Ste 107, Jacksonville, FL 32218 Phone: 904-683-1425 |