Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mary Alice Fulghum, LMFT, LPC

Individual provider Marriage & Family Therapist · NPI 1831273275

Mary Alice Fulghum, LMFT, LPC is a Marriage & Family Therapist in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida and Mississippi.

Licensed in
FL, MS
In the registry since
2006
Specialties on file
2
What do these letters mean?
LMFT — Licensed Marriage and Family Therapist
A therapist licensed to treat couples and families.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

9791 Old Saint Augustine Rd
Jacksonville, FL 32257-6035
Phone: (904) 762-4040
Fax: (904) 238-5078
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Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence MT 2553 (FL)
Professional Counselor Taxonomy 101YP2500X · Licence 929 (MS)

Record details

NPI number1831273275
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMFT , LPC
Sole proprietorYes
NPI enumeratedOctober 24, 2006
Last updated in NPPESMay 21, 2012

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