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NPI Code Detail

MEDICARE: KATELEN FULLER

MEDICARE: KATELEN FULLER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselorWV

General Provider Information

NPI Number : 1982535944
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATELEN FULLER
Provider Business Mailing Address
First Line : 137 8TH AVE W
Second Line :
City : HUNTINGTON
State : WV
Zip : 25701-2510
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 137 8TH AVE W
Second Line :
City : HUNTINGTON
State : WV
Zip : 25701-2510
Country : US
Telephone Number : 304-408-3857
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2026
Last Update Date : 05/28/2026

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Directions to “ KATELEN FULLER ” Practice Location

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