Fuller, Laura A

Fuller, Laura A is an sole proprietor health care provider with primary practice located at 114 Orchard Lake Rd , Pontiac MI 48341-2244. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Fuller, Laura A can be contacted via phone (248) 858-7766.

Contact Information

Primary practice address
114 Orchard Lake Rd Pontiac MI 48341-2244
Phone: (248) 858-7766
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 6401013190 Michigan

Profile Details

NPI number 1982950929
LBN Legal business name Fuller, Laura A
Credentials MS, LPC, ATR
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 2012
Last updated Dec 29th, 2014 - about 10 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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