Charles E Fuller, LPC
Counselor, Professional in Calhoun, GA. Individual provider (NPI-1).
NPI number1487986972
StatusActive
Last updated in NPPESMay 1, 2013
Details
- NPI
- 1487986972
- Entity type
- Individual (NPI-1)
- Name
- Mr. Charles E Fuller
- Credential
- LPC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 8, 2010
- Last updated
- May 1, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | LPC007145 | GA | Yes |
Practice location
189 Professional Ct SeSuite 105
Calhoun, GA 30701-7053
Phone 706-979-4037
Mailing address
189 Professional Ct SeSuite 105
Calhoun, GA 30701-7053
Phone 706-979-4037
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