ELLE KATHRYN-FORBES FULTZ

GILBERT, AZ
NPI1306489919
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: AZ  LPC-18277)
Enumeration Date2019-10-26
Last Update Date2019-10-26
Business Address
ELLE KATHRYN-FORBES FULTZ
2730 S VAL VISTA DR STE 137
GILBERT, AZ 85295-1681
Phone number: 480-313-4535
Mailing Address
ELLE KATHRYN-FORBES FULTZ
1012 W INDIGO ST
MESA, AZ 85201-2049
Phone number: 480-313-4535