Individual provider · Type 1 NPI
Amy M. Fuller, PhD
Professional Counselor · San Antonio, TX
NPI number
1184730756
Active
Practice location
1380 Pantheon Way, #310
San Antonio, TX 78232
Fax (210) 694-4600
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 17295LPC (TX) |
Professional Counselor: Definition to come...
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About NPI 1184730756
Amy M. Fuller, PhD's National Provider Identifier is 1184730756, issued on Aug 23, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in San Antonio, TX. The record was last updated on Jul 8, 2007.