Provider Demographics
NPI:1558864330
Name:MORRIS, FULTON WILLARD JR (MS, LPC)
Entity Type:Individual
Prefix:MR
First Name:FULTON
Middle Name:WILLARD
Last Name:MORRIS
Suffix:JR
Gender:M
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 OLIVE ST
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:KS
Mailing Address - Zip Code:66043-1639
Mailing Address - Country:US
Mailing Address - Phone:302-242-8193
Mailing Address - Fax:
Practice Address - Street 1:102 OLIVE ST
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:KS
Practice Address - Zip Code:66043-1639
Practice Address - Country:US
Practice Address - Phone:302-242-8193
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-17
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2762101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health