Individual provider · Type 1 NPI

Matthew Gerald Fuller

Mental Health Counselor · Nashville, TN

NPI number 1750946950 Active

Practice location

3601 The Vanderbilt Clinic
Nashville, TN 37232-5428

Call (615) 936-2000 Map

Mailing address

415 County Road 110 N
Mound, MN 55364-8338

Other practice locations

  • 7101 York Ave S Ste 357, Edina, MN 55435-4428 · (970) 926-6340

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X3369 (MN)
Mental Health Counselor 101YM0800XIMH18270 (FL)
Mental Health Counselor Primary 101YM0800X6062 (TN)

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About NPI 1750946950

Matthew Gerald Fuller's National Provider Identifier is 1750946950, issued on May 3, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Nashville, TN. The record was last updated on Jul 2, 2024.