Individual provider · Type 1 NPI

Janice Lynne Fullenwider, LPC

Professional Counselor · Madison, WI

NPI number 1790807261 Active

Practice location

702 W Main St
Madison, WI 53715-1424

Mailing address

25 Kessel Ct, Ste 105
Madison, WI 53711-6227

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X3686-125 (WI)

Professional Counselor: Definition to come...

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About NPI 1790807261

Janice Lynne Fullenwider, LPC's National Provider Identifier is 1790807261, issued on Apr 4, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Madison, WI. The record was last updated on Sep 7, 2016.