Fuller, Elise J

Fuller, Elise J is an individual health care provider with primary practice located at 16610 Dallas Pkwy Suite 2100, Dallas TX 75248-2617. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Fuller, Elise J can be contacted via phone (972) 733-3988.

Contact Information

Primary practice address
16610 Dallas Pkwy Suite 2100 Dallas TX 75248-2617
Phone: (972) 733-3988
Fax: (972) 733-3923
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 69467 Texas
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 69467 Texas
Behavioral Health & Social Service Providers / Professional 101YP2500X 69467 Texas

Profile Details

NPI number 1457699969
LBN Legal business name Fuller, Elise J
Credentials MA, LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2013
Last updated Nov 16th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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