Organization
ANDREW JAMES FULTZ, LCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW JAMES FULTZ MSW, LCSW (OWNER)
(318) 443-9339
Entity
Organization
Contact information
Practice address
5920 COLISEUM BLVD, ALEXANDRIA, LA 71303-3714
(318) 443-9339
(318) 443-9116
Mailing address
5920 COLISEUM BLVD, ALEXANDRIA, LA 71303-3714
(318) 443-9339
(318) 443-9116
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
11403
LA
Other
Enumeration date
07/14/2016
Last updated
07/14/2016
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