person
Deidra Fuller
Professional Counselor in Midland, Texas
NPI 1558946319

Deidra Fuller is a Professional Counselor based in Midland, TX and is specialized in Professional. Deidra Fuller practices in Midland, TX. The NPI Number for Deidra Fuller is 1558946319 and holds a License No. 60840 (Texas).

The current practice location address for Deidra Fuller is 2711 Delano Ave, Midland, TX and can be reached out via phone at 432-816-2680.

Location: 2711 Delano Ave, Midland, TX, 79701-3102
person
Provider Profile Details
NPI Number
1558946319
Provider Name
Deidra Fuller
Credential
Provider Entity Type
Individual
Gender
Female
Address
2711 Delano Ave, Midland, TX, 79701-3102
Phone Number
432-816-2680
Fax Number
Provider Enumeration Date
03/13/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2711 Delano Ave
City
State
Zip
79701-3102
Phone Number
432-816-2680
Fax Number
person
Provider Business Mailing Address Details
Address
2711 Delano Ave
City
State
Zip
79701-3102
Phone Number
432-816-2680
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
60840 (Texas)
Definition
Definition to come...
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