Individual provider · Type 1 NPI

Jennifer Lynne Fuller, LCPC

Professional Counselor · Chicago, IL

NPI number 1740429596 Active

Practice location

5235 N Clark St, Ste 2N
Chicago, IL 60640-2122

Call (773) 310-1583 Map

Mailing address

2934 N Clark St, #3E
Chicago, IL 60657-5230

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X180.007122 (IL)

Professional Counselor: Definition to come...

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About NPI 1740429596

Jennifer Lynne Fuller, LCPC's National Provider Identifier is 1740429596, issued on Feb 17, 2009. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Chicago, IL. The record was last updated on Feb 17, 2009.