Xavier Quamaine Lee Fullerton is a Winston Salem, North Carolina based counselor who is specialized as Professional Counselor. Active license number of Xavier Quamaine Lee Fullerton is 14556 for Mental Health Counselor in North Carolina. His current practice location is 140 Kimel Park Dr Ste 101, Winston Salem. Patients can book an appointment with him at 336-718-7280.
Xavier Quamaine Lee Fullerton is a licensed mental health practitioner trained to help individuals, couples, and groups address emotional, psychological, and behavioral challenges. He uses talk therapy and evidence-based counseling methods to support clients in managing mental health conditions, improving relationships, and developing coping strategies for life’s difficulties.
Complete Profile:
Xavier Quamaine Lee Fullerton speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Xavier Quamaine Lee Fullerton
Specialization:
Professional Counselor
Gender:
Male
Credentials:
LPC-A, CRC
Accepts Medicare Assignment:
No
Practice Address:
140 Kimel Park Dr Ste 101, Winston Salem, North Carolina, 27103-6185
Phone:
336-718-7280
Fax:
336-718-7290
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1215490966
NPI Enumeration Date:
10 Apr, 2019
NPI Last Update On:
23 Aug, 2023
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Xavier Quamaine Lee Fullerton are as mentioned below.
License Number
Specialization
State
Status
14556
Mental Health Counselor
North Carolina
Primary
A14556
Professional Counselor
North Carolina
Secondary
Rehabilitation Counselor
Secondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 60447, Charlotte, North Carolina
Zip:
28260-0447
Patients can reach Xavier Quamaine Lee Fullerton at 140 Kimel Park Dr Ste 101, Winston Salem, North Carolina or can call to book an appointment on 336-718-7280. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 July, 2025.