Individual
MRS. RENEE FULMER DAUGHTRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
315 N 3NOTCH ST, TROY, AL 36081-2021
(334) 372-0346
(256) 701-6926
Mailing address
1911 HENDERSON HWY, TROY, AL 36079-8223
(334) 372-0346
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
3485
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1861983298
ORGANIZATIONAL NPI
—
Enumeration date
01/22/2019
Last updated
07/16/2021
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