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Ambriel Marie Fulghum, LMFT
Mental Health Clinic/Center (Including Community Mental Health Center) in Lakeville, Minnesota
NPI 1588439038

Ambriel Marie Fulghum is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Lakeville, MN and is specialized in Mental Health (Including Community Mental Health Center). Ambriel Marie Fulghum practices in Lakeville, MN and has the professional credentials of LMFT. The NPI Number for Ambriel Marie Fulghum is 1588439038 and holds a License No. 4454 (Minnesota).

The current practice location address for Ambriel Marie Fulghum is 10535 165Th St W, Lakeville, MN and can be reached out via phone at 952-435-0022 and via fax at 952-435-0095.

Location: 10535 165Th St W, Lakeville, MN, 55044-5729
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588439038
Provider Name
Ambriel Marie Fulghum
Credential
LMFT
Provider Entity Type
Individual
Gender
Female
Address
10535 165Th St W, Lakeville, MN, 55044-5729
Phone Number
952-435-0022
Fax Number
952-435-0095
Provider Enumeration Date
11/15/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10535 165Th St W
City
Lakeville
State
Minnesota
Zip
55044-5729
Phone Number
952-435-0022
Fax Number
952-435-0095
person
Provider Business Mailing Address Details
Address
10535 165Th St W
City
Lakeville
State
Minnesota
Zip
55044-5729
Phone Number
952-435-0022
Fax Number
952-435-0095
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
106H00000X
License No.
(Minnesota)
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
4454 (Minnesota)
Definition
Definition to come...
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