| Liz Fultz | |
|
1505 Carter Ave Ashland KY 41101-7672 | |
| (606) 230-9999 | |
| Not Available |
| Full Name | Liz Fultz |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1505 Carter Ave, Ashland, Kentucky |
| Authorized Official Name and Position | Elizabeth Fultz (PRIVATE PRACTICE OWNER) |
| Authorized Official Contact | 6062309999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Liz Fultz 2676 State Highway 1654 Rush KY 41168-8949 Ph: (309) 807-6095 | Liz Fultz 1505 Carter Ave Ashland KY 41101-7672 Ph: (606) 230-9999 |
| NPI Number | 1417778325 |
|---|---|
| Provider Enumeration Date | 10/23/2024 |
| Last Update Date | 11/07/2024 |
| Certification Date | 11/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417778325 | NPI | - | NPPES |
| 1598419285 | Other | NPI 1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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