ROSALYN CONTINA FULTON


Address: 1812 Wadsworth Way, Baltimore, MD 21239-3109
Phone: 4433087048

ROSALYN CONTINA FULTON (NPI# 1366977514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366977514
Entity Type Individual
Full Name ROSALYN CONTINA FULTON
Credential LCPC
Practice Address 1812 Wadsworth Way
Baltimore
MD 21239-3109
Practice Telephone 4433087048
Mailing Telephone 4105857227
Enumeration Date 2017-04-25
Last Update Date 2019-08-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
LCA2538 MD Behavioral Health & Social Service Providers
Y 101YM0800X Counselor
Specialization: Mental Health
LC8550 MD Behavioral Health & Social Service Providers

Office Location

Street Address 1812 WADSWORTH WAY
City BALTIMORE
State MD
Zip Code 21239-3109

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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City BALTIMORE
Zip Code 21239

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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