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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