National Provider Identifier
Michelle Lynn Fulkerson, MHC
Michelle Lynn Fulkerson, MHC is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Ithaca, NY and a listed phone number of (607) 274-6200.
Profile Overview
- NPI
- 1457197683
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- July 08, 2024
- Last Updated
- March 03, 2026
Practice Location
- 201 E Green St
- Ithaca, NY 14850-5635
Phone: (607) 274-6200
Specialties
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1457197683
- Entity Type
- Individual
- Last Name
- Fulkerson
- First Name
- Michelle
- Middle Name
- Lynn
- Name Prefix
- Mrs.
- Credential
- MHC
- Mailing Street Address
- 201 E Green St
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-5635
- Mailing Country
- US
- Mailing Phone
- (607) 274-6200
- Practice Street Address
- 201 E Green St
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-5635
- Practice Country
- US
- Practice Phone
- (607) 274-6200
- Enumeration Date
- July 08, 2024
- Last Updated
- March 03, 2026
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- March 03, 2026
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)