Individual provider · Type 1 NPI

Taneka M. Fuller, LPC

Professional Counselor · Shreveport, LA

NPI number 1306289970 Active

Practice location

1406 Hawn Ave
Shreveport, LA 71107-6532

Call (318) 675-0224 Map

Fax (318) 675-0226

Mailing address

PO Box 78776
Shreveport, LA 71137-8776

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X4867 (LA)

Professional Counselor: Definition to come...

2 other providers at this address

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About NPI 1306289970

Taneka M. Fuller, LPC's National Provider Identifier is 1306289970, issued on Apr 12, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Shreveport, LA. The record was last updated on Apr 12, 2013.