MRS. TINA JEAN FULLER


Address: 1101 E Monroe Ave, Mcalester, OK 74501-4815
Phone: 9184267800

MRS. TINA JEAN FULLER (NPI# 1518294693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518294693
Entity Type Individual
Full Name MRS. TINA JEAN FULLER
Credential MS LADC/US
Practice Address 1101 E Monroe Ave
Mcalester
OK 74501-4815
Mailing Address 3751 Wayside Ln
Mcalester
OK 74501-7643
Practice Telephone 9184267800
Mailing Telephone 9183291476
Enumeration Date 2009-11-10
Last Update Date 2010-10-18
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
UNDER SUPERVISON OK Behavioral Health & Social Service Providers

Other Providers TINA FULLER

NPI Name Taxonomy Address Enumeration
1831688480 Tina Michele Fuller Social Worker 2412 Nw 6th St, Lawton, OK 73507-2211 2018-05-08
1659879096 Tina Fuller Licensed Practical Nurse 340 S Broadview St, Cape Girardeau, MO 63703-5703 2018-01-31

Office Location

Street Address 1101 E MONROE AVE
City MCALESTER
State OK
Zip Code 74501-4815

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982666582 Kim L Kurvink Family Medicine 1101 E Monroe Ave, Mcalester, OK 74501-4815 2006-04-06
1194323212 Martha Grantham Counselor 1101 E Monroe Ave, Mcalester, OK 74501-4815 2020-10-12
1932714334 Nicole A Young Peer Specialist 1101 E Monroe Ave, Mcalester, OK 74501-4815 2020-09-11
1871101675 Anthony Campana Peer Specialist 1101 E Monroe Ave, Mcalester, OK 74501-4815 2020-07-17
1861000721 Amanda Harris Counselor 1101 E Monroe Ave, Mcalester, OK 74501-4815 2020-07-16
1801413729 Robert Apala Case Manager/Care Coordinator 1101 E Monroe Ave, Mcalester, OK 74501-4826 2020-06-26
1083230080 Morrison Kate Huffstutlar Case Manager/Care Coordinator 1101 E Monroe Ave, Mcalester, OK 74501-4815 2020-06-25
1154943611 Augusta Pennington Peer Specialist 1101 E Monroe Ave, Mcalester, OK 74501-4815 2020-05-07
1609496785 Alana Mattioda Registered Nurse 1101 E Monroe Ave, Mcalester, OK 74501-4815 2020-04-20
1356960645 Brandi Kay Seawright Counselor 1101 E Monroe Ave, Mcalester, OK 74501-4815 2020-04-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295371466 Belfair of Mcalester LLC Assisted Living Facility 802 Windsong Way, Mcalester, OK 74501 2019-11-22
1912425018 Jennifer Bird Case Manager/Care Coordinator 34 Harpoon Dr, Mcalester, OK 74501 2017-09-08
1073033502 Natalie Aline Kitchell Case Manager/Care Coordinator 1303 Hickory Bend, Mcalester, OK 74501 2017-06-26
1265964308 Phoenix Counseling and Assessment Center, Inc. Community/Behavioral Health 32 E Cherokee, Suite 104, Mcalester, OK 74501 2017-03-29
1215302799 Christine Herron Physical Therapy Assistant 1029 E. Washington Ave, Mcalester, OK 74501 2015-12-09
1437538212 Lauren White Speech-Language Pathologist 205 South 2nd, Mcalester, OK 74501 2015-05-26
1316344096 Ashley Brooke Monks Speech-Language Pathologist 557 Broken Feather Lane, Mcalester, OK 74501 2014-11-25
1821407644 William Joseph Kinderknecht Family Medicine 4 E. Clark Bass Blvd., Suite 301a, Mcalester, OK 74501 2014-08-06
1467795153 Kensey Mckay Holman Occupational Therapist 903 E Monroe Ave Ste 200, Mcalester, OK 74501 2013-04-01
1821334418 Delors J Simmons Counselor 600 North D St, Mcalester, OK 74501 2012-12-31
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750686002 Alice Rane' Beckham Counselor 1024 W Brewer Ave, Mcalester, OK 74501-2063 2011-01-18
1215247960 Rachel Long Counselor 805 W. Jackson, Mcalester, OK 74501 2010-10-15
1407092448 Albert Thomas Counselor 501 Quail Dr, Mcalester, OK 74501-7369 2008-12-22
1518103613 William Mcgregor Counselor 6007 Walnut Glen Ln, Mcalester, OK 74501-8354 2008-12-20
1114136314 William Frank Stovall Counselor 32 E Cherokee Ave Ste 104, Mcalester, OK 74501-5323 2007-05-22
1124247697 Janine Linda Mangrum Counselor 1210 N West St, Mcalester, OK 74501-2306 2007-04-24
1174748917 Southeastern Oklahoma Social Services Inc. Counselor 512 E Chickasaw Ave, Mcalester, OK 74501-5354 2007-04-16
1225664329 Aj Thomason Counselor 628 E Creek Ave, Mcalester, OK 74501-6930 2020-03-20
1275170490 Danielle Kalyn Bowers Counselor 628 E Creek Ave, Mcalester, OK 74501-6930 2019-12-06
1578090080 Kourtnee Anderson Counselor 628 E Creek Ave, Mcalester, OK 74501-6930 2017-05-15
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Competitor

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City MCALESTER
Zip Code 74501

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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