Individual
MRS. LOIS FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
204 E CHOCTAW AVE, SALLISAW, OK 74955-4604
(918) 790-2292
(918) 790-2291
Mailing address
204 E CHOCTAW AVE, SALLISAW, OK 74955-4604
(918) 790-2292
(918) 790-2291
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/08/2013
Last updated
01/12/2026
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