Organization
JESSICA LANDRY FULTZ, LCSW, LLC
Active
Organization
JESSICA LANDRY FULTZ, LCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JESSICA LANDRY FULTZ LCSW (LCSW)
(318) 305-9210
Entity
Organization
Contact information
Practice address
221 N MONROE ST, SUITE B, MARKSVILLE, LA 71351-2311
(318) 305-9210
Mailing address
PO BOX 65, HESSMER, LA 71341-0065
(318) 305-9210
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
11307
LA
Other
Enumeration date
10/02/2014
Last updated
10/02/2014
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