| Kondra Fulmer Counseling, Llc | |
|
12802 Piscataway Landing Dr Clinton MD 20735-4591 | |
| (301) 332-1498 | |
| Not Available |
| Full Name | Kondra Fulmer Counseling, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 12802 Piscataway Landing Dr, Clinton, Maryland |
| Authorized Official Name and Position | Kondra M Fulmer (OWNER) |
| Authorized Official Contact | 3013321498 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kondra Fulmer Counseling, Llc 12802 Piscataway Landing Dr Clinton MD 20735-4591 Ph: (301) 332-1498 | Kondra Fulmer Counseling, Llc 12802 Piscataway Landing Dr Clinton MD 20735-4591 Ph: (301) 332-1498 |
| NPI Number | 1720795958 |
|---|---|
| Provider Enumeration Date | 10/27/2022 |
| Last Update Date | 10/27/2022 |
| Certification Date | 10/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720795958 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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