Individual
MELISSA FULLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
7345 E US HIGHWAY 80, LONGVIEW, TX 75605-6757
(903) 668-2173
Mailing address
PO BOX 286, HALLSVILLE, TX 75650-0286
(903) 668-2173
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
88055
TX
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
10/03/2012
Last updated
06/07/2023
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