| Provider / Organization | NPI | Date Certified |
|---|---|---|
| PAMELA FULLERTON | 1881364206 | 2021-09-16 |
Pamela Fullerton is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1881364206. Registration indicates Pamela Fullerton is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor: Professional, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Professional, Behavioral Health & Social Service Providers) (Counselor, )
| Entity Type | Individual |
| Provider Name | Pamela Fullerton M.A., M.ED., LCPC |
| Practice Office Address | 7132 N HARLEM AVE STE 102 CHICAGO, IL US |
| Practice Office Telephone | 8477014533 |
| Mailing Address | 7132 N HARLEM AVE STE 102 CHICAGO, IL 606311086 US |
| Business Telephone | 8477014533 |
| Code | Practice | License No State |
|---|---|---|
| 101YP2500X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Professional Behavioral Health/Substance Abuse/Psychiatry Counselor Professional Behavioral Health & Social Service Providers Counselor |