| Michelle Fulks, Mft Apc | |
|
5252 Balboa Ave San Diego CA 92117-6906 | |
| (858) 775-8500 | |
| (858) 724-3670 |
| Full Name | Michelle Fulks, Mft Apc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 5252 Balboa Ave, San Diego, California |
| Authorized Official Name and Position | Michelle Fulks (PRESIDENT) |
| Authorized Official Contact | 8587758500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Fulks, Mft Apc 1901 1st Ave Ste 124 San Diego CA 92101-0300 Ph: (858) 775-8500 | Michelle Fulks, Mft Apc 5252 Balboa Ave San Diego CA 92117-6906 Ph: (858) 775-8500 |
| NPI Number | 1831888908 |
|---|---|
| Provider Enumeration Date | 05/04/2023 |
| Last Update Date | 05/04/2023 |
| Certification Date | 05/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831888908 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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