Krystin Jherel Fullwood
NPI #1629505599 in Summerfield, North Carolina
Provider Information
- NPI Number
- 1629505599
- Entity Type
- Individual
- Name
- Krystin Jherel Fullwood
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- May 22, 2017
- Last Updated
- Sep 20, 2023
Practice Location
- Address
- 6633 ALLEY RD
- City
- Summerfield
- State
- North Carolina
- ZIP Code
- 27358-9203
- Phone
- (336) 280-9976
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
| Counselor - Mental Health — Mental Health |
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