Brian Warner Fulkerson, BA
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Chattanooga, TN
NPI 1942950779 · NPPES record last updated Mar 25, 2022
Key facts
- NPI
- 1942950779
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 2347 Rossville Blvd
Chattanooga, TN 37408-2250 - Phone
- (423) 602-2250
- Fax
- (423) 265-2932
- NPI assigned
- Mar 25, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Volunteer Treatment Center, LLC | Current |
Accepting new patients |
Locations
2347 Rossville Blvd
Chattanooga, TN 37408
Phone (423) 265-3122
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
2347 Rossville Blvd
Chattanooga, TN 37408-2250
Mailing address
2347 Rossville Blvd
Chattanooga, TN 37408-2250
Phone (423) 602-2250
Other providers in Chattanooga, TN
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- Susan Elizabeth Fuchs
- Mark W. Fugate
- Bevans Ramsay Fulbright
- Erica Fulfer
- Full Throttle Massage, Inc.
- Megan H Fuller
- Margaret Marie Fulmer Brasel
- Elizabeth Fulton
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All providers in Chattanooga, TN · Addiction (Substance Use Disorder) Counselor in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.