Individual provider · Type 1 NPI
Latisha Fuller
Mental Health Counselor · Tulsa, OK
NPI number
1003158320
Active
Practice location
5125 S Utica Ave Apt 4
Tulsa, OK 74105-5727
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1003158320
Latisha Fuller's National Provider Identifier is 1003158320, issued on Mar 25, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tulsa, OK. The record was last updated on Mar 25, 2013.