Individual provider · Type 1 NPI
Kelly Lynn Fuller
Mental Health Counselor · Bloomingdale, NY
NPI number
1033827308
Active
Practice location
755 Cold Brook Rd
Bloomingdale, NY 12913-2415
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | P118325 (NY) |
Mental Health Counselor: Definition to come...
About NPI 1033827308
Kelly Lynn Fuller's National Provider Identifier is 1033827308, issued on Nov 7, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bloomingdale, NY. The record was last updated on Nov 7, 2022.