National Provider Identifier
Traci L Fulmer, CASAC
Traci L Fulmer, CASAC is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Dundee, NY and a listed phone number of (315) 640-1472.
Profile Overview
- NPI
- 1891558680
- Provider Type
- Individual
- Primary Specialty
- Addiction (Substance Use Disorder) Counselor
- Enumeration Date
- February 05, 2024
- Last Updated
- February 05, 2024
Practice Location
- 11 Oakwood Est
- Dundee, NY 14837-1154
Phone: (315) 640-1472
Specialties
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
Full Record
- NPI
- 1891558680
- Entity Type
- Individual
- Last Name
- Fulmer
- First Name
- Traci
- Middle Name
- L
- Credential
- CASAC
- Mailing Street Address
- 11 Oakwood Est
- Mailing City
- Dundee
- Mailing State
- NY
- Mailing ZIP Code
- 14837-1154
- Mailing Country
- US
- Mailing Phone
- (315) 640-1472
- Practice Street Address
- 11 Oakwood Est
- Practice City
- Dundee
- Practice State
- NY
- Practice ZIP Code
- 14837-1154
- Practice Country
- US
- Practice Phone
- (315) 640-1472
- Enumeration Date
- February 05, 2024
- Last Updated
- February 05, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- February 03, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Addiction (Substance Use Disorder) Counselor (101YA0400X)