XAVIER FULLERTON LPC-A CRC NPI 1215490966

NPI Information

NPI: 1215490966
Provider Name: XAVIER FULLERTON, LPC-A, CRC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
120 HEALTH CENTER DR
AHOSKIE, NC
ZIP 27910
Phone: (252) 332-3548
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Xavier Fullerton, LPC-A, CRC is a professional counselor in Ahoskie, NC. Xavier Fullerton, LPC-A, CRC NPI is 1215490966. 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:

120 HEALTH CENTER DR
AHOSKIE, NC
ZIP 27910-161
Phone: (252) 332-3548
Fax: (252) 332-1665

The enumeration date for this NPI number is 4/10/2019 and was last updated on 4/10/2019.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225C00000X	Rehabilitation Counselor				No
2	101YP2500X	Counselor	Professional	A14556	NORTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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