Individual provider · Type 1 NPI
Ann Sullivan Fautheree, LPC
Professional Counselor · Lake Providence, LA
NPI number
1467411413
Active
Practice location
282 Wyly Dr
Lake Providence, LA 71254-5356
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | #2315 (LA) |
Professional Counselor: Definition to come...
Another provider at this address
Other professional counselor providers in Lake Providence
About NPI 1467411413
Ann Sullivan Fautheree, LPC's National Provider Identifier is 1467411413, issued on Mar 20, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lake Providence, LA. The record was last updated on Jul 8, 2007.