Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MADELINE NOEL FULTS, CIT

Active

Addiction (Substance Use Disorder) Counselor · PINE BLUFF, AR

Registration Details

NPI Number: 1962896217
Provider Type: Individual
Gender: Female
NPI Issued: Mar 25, 2015 (11.077204458145 yrs)
Last Updated: Mar 25, 2015

Practice Information

Address: 2304 W 29TH AVE

SUITE 1

PINE BLUFF, AR, 716035005
Browse AR providers · Browse ZIP 71603
Phone: 8702475222
Fax: 8706714847
Primary Specialty: Addiction (Substance Use Disorder) Counselor
101YA0400X

Other Addiction (Substance Use Disorder) Counselor Providers in PINE BLUFF, AR

Name	Credential	NPI
QUANINIKA WASHINGTON	MS/LADAC/CCDP-D/MFTC	1700215233
SHA'VONYA M STEPHENS	LADC	1508258542
ROGER CAMERON	ACADC, CCS	1538553896
MR. SCOTT AARON MABRY	CADC, CCS	1225422561
DR. ZABRINA ZENNILE WEAVER	ED.D., LADAC	1548870389
DENISE EDWARDS	—	1417674649

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.