Fuller Counseling Services Llc | |
2285 Benton Rd Ste 107gop Bossier City LA 71111-7933 | |
(318) 458-7255 | |
Not Available |
Full Name | Fuller Counseling Services Llc |
---|---|
Speciality | Counselor - Professional |
Location | 2285 Benton Rd Ste 107gop, Bossier City, Louisiana |
Authorized Official Name and Position | Taneka Fuller (OWNER) |
Authorized Official Contact | 3184587255 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Fuller Counseling Services Llc 2113 Sweet Bay Cir Bossier City LA 71111-6727 Ph: () - | Fuller Counseling Services Llc 2285 Benton Rd Ste 107gop Bossier City LA 71111-7933 Ph: (318) 458-7255 |
NPI Number | 1205252954 |
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Provider Enumeration Date | 03/05/2014 |
Last Update Date | 03/05/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205252954 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 4867 (Louisiana) | Primary |
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