Individual provider · Type 1 NPI

Louise Ella Fullerton, LPC

Counselor · Salem, OR

NPI number 1891702767 Active

Practice location

290 Moyer Ln NW, Easter Seas Children's Guild
Salem, OR 97304

Fax (503) 363-4214

Mailing address

710 Stewart St NE
Salem, OR 97301-2515

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XC0696 (OR)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1891702767

Louise Ella Fullerton, LPC's National Provider Identifier is 1891702767, issued on Aug 2, 2006. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Salem, OR. The record was last updated on Jul 8, 2007.