Individual provider · Type 1 NPI
Shanna Fulton
Addiction (Substance Use Disorder) Counselor · Grand Prairie, TX
NPI number
1558096537
Active
Practice location
4630 Opelousas Ct
Grand Prairie, TX 75052-1738
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 15726 (TX) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1558096537
Shanna Fulton's National Provider Identifier is 1558096537, issued on Jul 22, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Grand Prairie, TX. The record was last updated on Jul 22, 2022.