Individual provider · Type 1 NPI

Melissa Portia Fuller, LPC

Professional Counselor · Portage, MI

NPI number 1023668076 Active

Practice location

7895 Currier Dr
Portage, MI 49002-4314

Call (269) 910-7327 Map

Mailing address

300 68th St SE
Grand Rapids, MI 49548-6927

Other practice locations

  • 8270 S 10th St, Kalamazoo, MI 49009-9729 · (269) 271-2002

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X6401014638 (MI)
Mental Health Counselor 101YM0800X6401014638 (MI)

Professional Counselor: Definition to come...

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About NPI 1023668076

Melissa Portia Fuller, LPC's National Provider Identifier is 1023668076, issued on Sep 11, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Portage, MI. The record was last updated on Feb 29, 2024.