person
Ms. Kondra Mia Fulmer
Professional Counselor in Alexandria, Virginia
NPI 1659304384

Kondra Mia Fulmer is a Professional Counselor based in Prince Frederick, VA and is specialized in Professional. Kondra Mia Fulmer practices in Alexandria, VA. The NPI Number for Kondra Mia Fulmer is 1659304384 and holds a License No. LC2175 (Virginia).

The current practice location address for Kondra Mia Fulmer is 4850 Mark Center Dr, Alexandria, VA and can be reached out via phone at 703-746-3400.

Location: 4850 Mark Center Dr, Alexandria, VA, 20678
person
Provider Profile Details
NPI Number
1659304384
Provider Name
Kondra Mia Fulmer
Credential
Provider Entity Type
Individual
Gender
Female
Address
4850 Mark Center Dr, Alexandria, VA, 20678
Phone Number
703-746-3400
Fax Number
Provider Enumeration Date
07/08/2006
Last Update Date
07/20/2024
institution
Provider Business Practice Location Address Details
Address
4850 Mark Center Dr
City
State
Zip
22311-1882
Phone Number
703-746-3400
Fax Number
person
Provider Business Mailing Address Details
Address
4850 Mark Center Dr
City
State
Zip
22311-1882
Phone Number
703-746-3400
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
0701006170 (Virginia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LC2175 (Maryland)
Definition
Definition to come...
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