Individual provider · Type 1 NPI
Steven Michael Fuller, LPC, LMFT
Professional Counselor · Lawton, OK
NPI number
1699115139
Active
Practice location
4202 SW Lee Blvd., Park Ridge Professional Center
Lawton, OK 73505
Mailing address
PO Box 655
Anadarko, OK 73005-0655
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 200 (OK) |
| Marriage & Family Therapist | 106H00000X | 88 (OK) |
Professional Counselor: Definition to come...
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About NPI 1699115139
Steven Michael Fuller, LPC, LMFT's National Provider Identifier is 1699115139, issued on Jun 28, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lawton, OK. The record was last updated on Jun 28, 2013.