Individual
ALFREDA MARIA FULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
2235 POYDRAS ST STE A, NEW ORLEANS, LA 70119-7561
(504) 814-8001
(504) 814-8002
Mailing address
THE CREED GROUP OF LA, 2235-A POYDRAS ST, NEW ORLEANS, LA 70119
(504) 814-8001
(504) 814-8002
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LAC-5077
LA
Other
Enumeration date
05/07/2019
Last updated
11/17/2021
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