Fulcrod, Shannon Noelle

Fulcrod, Shannon Noelle is an sole proprietor health care provider with primary practice located at 1200 Sam Perry Blvd , Fredericksburg VA 22401-4456. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Fulcrod, Shannon Noelle can be contacted via phone (540) 760-8985.

Contact Information

Primary practice address
1200 Sam Perry Blvd Fredericksburg VA 22401-4456
Phone: (540) 760-8985
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0710102773 Virginia
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0904007103 Virginia

Profile Details

NPI number 1003241209
LBN Legal business name Fulcrod, Shannon Noelle
Credentials LCSW, CSAC, MAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 6th, 2013
Last updated Sep 6th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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