Individual provider · Type 1 NPI

Joann Fuller

Mental Health Counselor · Portland, ME

NPI number 1275803702 Active

Practice location

470 Forest Ave, Suite 202
Portland, ME 04101

Fax (207) 774-3540

Mailing address

179 Pepperrell Rd
Kittery Point, ME 03905-5114

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XXL3862 (ME)

Mental Health Counselor: Definition to come...

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About NPI 1275803702

Joann Fuller's National Provider Identifier is 1275803702, issued on Dec 30, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, ME. The record was last updated on Dec 30, 2011.