Fulton, Karen Jean

Fulton, Karen Jean is an sole proprietor health care provider with primary practice located at 10175 Fortune Pkwy Unit 504, Jacksonville FL 32256-6746. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Pastoral. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Fulton, Karen Jean can be contacted via phone (904) 363-6999.

Contact Information

Primary practice address
10175 Fortune Pkwy Unit 504 Jacksonville FL 32256-6746
Phone: (904) 363-6999
Fax: (904) 363-6996
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X MH0002651 Florida
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH0002651 Florida
Behavioral Health & Social Service Providers / Pastoral 101YP1600X MH2651 Florida

Profile Details

NPI number 1356424956
LBN Legal business name Fulton, Karen Jean
Credentials MACP, LMHC, CEAP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 24th, 2006
Last updated Mar 9th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1356424956 NPPES
Florida Other 2651 LIC MENTAL HEALTH COUNSEL

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