Individual provider · Type 1 NPI

Charlotte Fuller

Counselor · San Rafael, CA

NPI number 1336296540 Active

Practice location

914 Mission Ave
San Rafael, CA 94901-6106

Call (415) 457-6966 Map

Fax (415) 721-0281

Mailing address

235 Bolinas Rd, Apt. #6
Fairfax, CA 94930-1968

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
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 1336296540

Charlotte Fuller's National Provider Identifier is 1336296540, issued on Jan 3, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in San Rafael, CA. The record was last updated on May 16, 2016.