Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Cynthia Fullwood-Fleck, MFT, PCC

Individual provider Marriage & Family Therapist · NPI 1023247178

Cynthia Fullwood-Fleck, MFT, PCC is a Marriage and Family Therapist in Stockton, California. Qualified in 2009, 17 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in California and North Carolina.

Years since qualifying
17
Licensed in
CA, NC
In the registry since
2009
Specialties on file
2
What do these letters mean?
MFT — Marriage and Family Therapist
A therapist who treats couples and families.

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Practice location Address checks out

1212 N California St
Stockton, CA 95202-1552
Phone: (209) 468-8750
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3000 New Bern Ave, Raleigh, NC 27610-1231 — (919) 350-7722

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 1972 (NC)
Marriage & Family Therapist Taxonomy 106H00000X · Licence 53745 (CA)

Record details

NPI number1023247178
Entity typeIndividual (Type 1)
GenderFemale
Credentials MFT , PCC
Sole proprietorYes
NPI enumeratedJuly 10, 2009
Last updated in NPPESMay 7, 2026
Certification dateMay 7, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Accepts Medicare assignment Not indicated

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