Latisha Fuller
Mental Health Counselor
5125 S Utica Ave Apt 4
Tulsa
, Oklahoma 74105-5727
Latisha Fuller
Mental Health Counselor
5125 S Utica Ave Apt 4
Tulsa
, Oklahoma 74105-5727
(918) 734-5259
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About
Features
Specialties
- Mental Health Counselor
Languages spoken
- English
Location
First Address
- Latisha Fuller
- 5125 S Utica Ave Apt 4
- Tulsa, OK
- Zip : 74105-5727
- Phone : (918) 734-5259
Second Address
- Latisha Fuller
- 5125 S Utica Ave Apt 4
- Tulsa, OK
- Zip : 74105-5727
- Phone : (918) 734-5259
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YM0800X | Mental Health Counselor |
National Provider Identifier
| NPI | 1003158320 |
|---|---|
| Provider Name | Latisha Fuller |
| First Address | Tulsa, OK 74105-5727 |
| Second Address | Tulsa, OK 74105-5727 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/03/2013 |
| Last Update Date | 25/03/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.