Individual provider · Type 1 NPI
Fullard Dee Foreman Jr., BA
Counselor · Collinsville, OK
NPI number
1912307380
Active
Practice location
13952 N 147th East Ave
Collinsville, OK 74021-5690
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | F082462546 (OK) |
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.
About NPI 1912307380
Fullard Dee Foreman Jr., BA's National Provider Identifier is 1912307380, issued on Sep 3, 2014. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Collinsville, OK. The record was last updated on Sep 3, 2014.