IndividualActive
Marcella Fullilove, MS QMHP
NPI 1235669235 · Mental Health Counselor · Cairo, IL
Provider details
- NPI number
- 1235669235
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- MS QMHP
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1401 Washington Ave
Cairo, IL 62914-1810
Phone: (618) 734-2665
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1328
Vienna, IL 62995-1328
Registry dates
- Enumerated
- 2017-06-13
- Last updated
- 2017-06-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.