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Mr. Fullard Dee Foreman JR., BA
Counselor in Collinsville, Oklahoma
NPI 1912307380

Fullard Dee Foreman JR. is a Counselor based in Collinsville, OK. Fullard Dee Foreman JR. practices in Collinsville, OK and has the professional credentials of BA. The NPI Number for Fullard Dee Foreman JR. is 1912307380 and holds a License No. F082462546 (Oklahoma).

The current practice location address for Fullard Dee Foreman JR. is 13952 N 147Th East Ave, Collinsville, OK and can be reached out via phone at 918-344-2536.

Location: 13952 N 147Th East Ave, Collinsville, OK, 74021-5690
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912307380
Provider Name
Fullard Dee Foreman JR.
Credential
BA
Provider Entity Type
Individual
Gender
Male
Address
13952 N 147Th East Ave, Collinsville, OK, 74021-5690
Phone Number
918-344-2536
Fax Number
Provider Enumeration Date
09/03/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
13952 N 147Th East Ave
City
Collinsville
State
Oklahoma
Zip
74021-5690
Phone Number
918-344-2536
Fax Number
person
Provider Business Mailing Address Details
Address
13952 N 147Th East Ave
City
Collinsville
State
Oklahoma
Zip
74021-5690
Phone Number
918-344-2536
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
F082462546 (Oklahoma)
Definition
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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