Emerick Fulton
Emerick Fulton is a Mental Health Counselor in Peoria, Illinois. Qualified in 2024, 2 years ago. Practices with Edge Counseling and Wellness LLC, an 8-clinician group and accepts Medicare assignment.
- Years since qualifying
- 2
- In the registry since
- 2024
Practice location Address checks out
719 W Lake AvePeoria, IL 61614-5941
Phone: (309) 408-1493
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1750130571 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 14, 2024 |
| Last updated in NPPES | May 14, 2024 |
| Certification date | May 14, 2024 |
| Mailing address | 9821 Ashbury Ct, Hanna City, IL 61536-9690 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Group practice | Edge Counseling And Wellness Llc — 8 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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