Individual provider · Type 1 NPI
Terri A. Fuller, LCPC
Professional Counselor · Du Quoin, IL
NPI number
1366601304
Active
Practice location
1016 S Madison St, Suite A
Du Quoin, IL 62832-2442
Fax (618) 542-3442
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 180-004047 (IL) |
Professional Counselor: Definition to come...
43 other providers at this address
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Other professional counselor providers in Du Quoin
About NPI 1366601304
Terri A. Fuller, LCPC's National Provider Identifier is 1366601304, issued on Jun 5, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Du Quoin, IL. The record was last updated on Jun 5, 2008.