Individual provider · Type 1 NPI

Richetrina Fullard, CCS

Addiction (Substance Use Disorder) Counselor · Charlotte, NC

NPI number 1356530745 Active

Practice location

145 Remount Rd
Charlotte, NC 28203-5013

Call (704) 332-9001 Map

Fax (704) 332-0124

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1356530745

Richetrina Fullard, CCS's National Provider Identifier is 1356530745, issued on Oct 22, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Charlotte, NC. The record was last updated on Oct 22, 2007.