Individual provider · Type 1 NPI
Bridget Fuller
Mental Health Counselor · Detroit, MI
NPI number
1114378254
Active
Practice location
14041 San Juan Dr
Detroit, MI 48238-2538
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1114378254
Bridget Fuller's National Provider Identifier is 1114378254, issued on Jun 30, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Detroit, MI. The record was last updated on Jun 30, 2016.