Individual
ANN ELIZABETH FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
15370 LEVAN RD STE 2, LIVONIA, MI 48154-1903
(248) 798-8121
Mailing address
15370 LEVAN RD, SUITE 2, LIVONIA, MI 48154-1903
(248) 798-8121
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401010696
MI
Other
Enumeration date
02/07/2012
Last updated
04/23/2018
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