Individual
MS. LEIGHANNA R FULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
315 S COLLEGE RD STE 220, LAFAYETTE, LA 70503-3221
(337) 456-7880
Mailing address
200 BRIDGEWAY DR APT 103, LAFAYETTE, LA 70506-4017
(870) 215-8729
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6570
LA
Other
Enumeration date
01/06/2010
Last updated
02/22/2017
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