Individual provider · Type 1 NPI

Lashonda Fuller, PhD

Professional Counselor · Chicago, IL

NPI number 1194113407 Active

Practice location

9510 S Constance Ave, Suite C-6
Chicago, IL 60617-4700

Call (872) 221-0041 Map

Fax (866) 683-7047

Mailing address

5454 S Shore Dr, Apt. 101
Chicago, IL 60615-5919

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X6401010632 (MI)

Professional Counselor: Definition to come...

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About NPI 1194113407

Lashonda Fuller, PhD's National Provider Identifier is 1194113407, issued on Jan 8, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Chicago, IL. The record was last updated on Jan 8, 2015.