LAVELL FULKS NPI 1104250075

NPI Information

Lavell Fulks is a counselor in Boston, MA. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Lavell Fulks NPI is 1104250075. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

317 BLUE HILL AVE
BOSTON, MA
ZIP 02121-302
Phone: (617) 989-0292

The enumeration date for this NPI number is 8/28/2013 and was last updated on 8/28/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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