Individual provider · Type 1 NPI

Dyeanna Fuller, MH16249

Mental Health Counselor · Melbourne, FL

NPI number 1487135596 Active

Practice location

1600 W Eau Gallie Blvd Ste 201F
Melbourne, FL 32935-4149

Call (561) 441-6466 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH16249 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1487135596

Dyeanna Fuller, MH16249's National Provider Identifier is 1487135596, issued on Aug 27, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Melbourne, FL. The record was last updated on Aug 27, 2018.