Individual
JELANI FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC-A
Contact information
Practice address
14331 SONORA BND, HELOTES, TX 78023-4494
(210) 884-4096
Mailing address
14331 SONORA BND, HELOTES, TX 78023-4494
(210) 884-4096
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
94633
TX
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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