Individual provider · Type 1 NPI

Lisa Fuller

Counselor · Jacksonville, FL

NPI number 1285458315 Active

Practice location

1904 Farragut Pl
Jacksonville, FL 32207-3420

Mailing address

2534 Victoria Point Dr
Jacksonville, FL 32218-8828

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1285458315

Lisa Fuller's National Provider Identifier is 1285458315, issued on Nov 14, 2024. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Jacksonville, FL. The record was last updated on Nov 14, 2024.