Individual provider · Type 1 NPI

Mallory Fuller, M.A.

Mental Health Counselor · Jacksonville, FL

NPI number 1346016698 Active

Practice location

4686 Sunbeam Rd
Jacksonville, FL 32257-6189

Call (904) 302-5340 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH25058 (FL)

Mental Health Counselor: Definition to come...

8 other providers at this address

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About NPI 1346016698

Mallory Fuller, M.A.'s National Provider Identifier is 1346016698, issued on Nov 28, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jacksonville, FL. The record was last updated on Jun 10, 2026.