Organization
TIFFANY FULLER COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TIFFANY LYNN FULLER LMFT (MARRIAGE AND FAMILY THERAPIST)
(405) 919-7124
Entity
Organization
Contact information
Practice address
16301 SONOMA PARK DR, EDMOND, OK 73013-2091
(405) 919-7124
Mailing address
16301 SONOMA PARK DR, EDMOND, OK 73013-2091
(405) 919-7124
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1214
OK
Other
Enumeration date
03/22/2017
Last updated
03/22/2017
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