Individual provider · Type 1 NPI
Nina Vanbrocklin Fuller, LCPC-C
Professional Counselor · Hollis Center, ME
NPI number
1124423413
Active
Practice location
335 Little Falls Rd
Hollis Center, ME 04042-3921
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | XL4326 (ME) |
Professional Counselor: Definition to come...
About NPI 1124423413
Nina Vanbrocklin Fuller, LCPC-C's National Provider Identifier is 1124423413, issued on Oct 29, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Hollis Center, ME. The record was last updated on Oct 29, 2014.