Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
XAVIER QUAMAINE LEE FULLERTON, LPC-A, CRC
ActiveXAVIER QUAMAINE LEE FULLERTON, LPC-A, CRC is a Mental Health Counselor healthcare provider located in WINSTON SALEM, North Carolina. NPI 1215490966 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · WINSTON SALEM, NC
Registration Details
- NPI Number
- 1215490966
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 10, 2019 (7.323488135227 yrs)
- Last Updated
- Aug 23, 2023
- Licenses
-
A14556 (NC)14556 (NC)
Practice Information
- Address
-
140 KIMEL PARK DR STE 101WINSTON SALEM, NC, 271036185Browse NC providers · Browse ZIP 27103
- Phone
- 3367187280
- Fax
- 3367187290
- Primary Specialty
-
Mental Health Counselor
101YM0800X
- Additional Specialty
- Rehabilitation Counselor
- Additional Specialty
- Mental Health Counselor
Other Mental Health Counselor Providers in WINSTON SALEM, NC
| Name | Credential | NPI |
|---|---|---|
| RHONDA F. FERRELL | LPC | 1306846779 |
| JANET G NESTOR | MA, LPC | 1245218395 |
| SONJIA REGINA SAMUELS | LCMHC | 1215966445 |
| SANDRA F SEEBER | LPC | 1982625083 |
| MRS. FRANCES FRIEDENSEN GORDON | M.ED., LPC, LCAS | 1407879778 |
| ANN DIXON COPPAGE | — | 1386667798 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.