Terri A Fuller, LCPC

NPI #1366601304 in Du Quoin, Illinois

Provider Information

NPI Number: 1366601304
Entity Type: Individual
Name: Terri A Fuller, LCPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: LCPC
Enumeration Date: Jun 5, 2008
Last Updated: Jun 5, 2008

Practice Location

Address: 1016 S MADISON ST
Address 2: SUITE A
City: Du Quoin
State: Illinois
ZIP Code: 62832-2442
Phone: (618) 542-4357

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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