Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. PAUL FULLERTON, LCSW, MSW
Active Sole ProprietorMR. PAUL FULLERTON, LCSW, MSW is a Case Management Agency healthcare provider located in SAINT CHARLES, Missouri. NPI 1639102411 is currently active in the NPPES registry. Verify at CMS.
Case Management Agency · SAINT CHARLES, MO
Registration Details
- NPI Number
- 1639102411
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 8, 2006 (20.065985012605 yrs)
- Last Updated
- Jul 8, 2007
- License
-
000484 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2800 ELM STSAINT CHARLES, MO, 633014618Browse MO providers · Browse ZIP 63301
- Phone
- 3147875100
- Fax
- 3147542800
- Primary Specialty
-
Case Management Agency
251B00000X
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.