BRIAN WARNER FULKERSON

CHATTANOOGA, TN
NPI1942950779
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2022-03-25
Last Update Date2022-03-25
Business Address
BRIAN WARNER FULKERSON BA
2347 ROSSVILLE BLVD
CHATTANOOGA, TN 37408-2250
Phone number: 423-602-2250
Mailing Address
BRIAN WARNER FULKERSON BA
2347 ROSSVILLE BLVD
CHATTANOOGA, TN 37408-2250
Phone number: 423-602-2250