Individual provider · Type 1 NPI

Jake E. Fuller, LPC

Professional Counselor · Adrian, MI

NPI number 1477313815 Active

Practice location

142 E Maumee St Ste 3
Adrian, MI 49221-2735

Mailing address

112 W Shawnee St
Tecumseh, MI 49286-1566

Other practice locations

  • 112 W Shawnee St, Tecumseh, MI 49286-1566 · (734) 215-5404

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X6401226147 (MI)

Professional Counselor: Definition to come...

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About NPI 1477313815

Jake E. Fuller, LPC's National Provider Identifier is 1477313815, issued on Mar 21, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Adrian, MI. The record was last updated on Apr 13, 2026.