Fulghum, Mary Alice
Fulghum, Mary Alice is an sole proprietor health care provider with primary practice located at 9791 Old Saint Augustine Rd , Jacksonville FL 32257-6035. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Fulghum, Mary Alice can be contacted via phone (904) 762-4040.Contact Information
Primary practice address
9791 Old Saint Augustine Rd
Jacksonville FL 32257-6035
Phone: (904) 762-4040
Fax: (904) 238-5078
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | MT 2553 | Florida |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 929 | Mississippi |
Profile Details
NPI number | 1831273275 |
---|---|
LBN Legal business name | Fulghum, Mary Alice |
Credentials | LMFT, L.P.C. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 24th, 2006 |
Last updated | May 21st, 2012 - about 12 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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