| 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 |
|---|---|
| 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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