Individual
MRS. JENNIFER KATHRYN FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
4322 S 180TH EAST AVE, TULSA, OK 74134-7461
(918) 864-1806
Mailing address
4322 S 180TH EAST AVE, TULSA, OK 74134-7461
(918) 864-1806
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/29/2011
Last updated
02/25/2026
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