Individual provider · Type 1 NPI
Anne-Lise Fuller
Professional Counselor · Martinez, GA
NPI number
1780075176
Active
Practice location
603 Muirfield Ct
Martinez, GA 30907-9575
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LPC005756 (GA) |
Professional Counselor: Definition to come...
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About NPI 1780075176
Anne-Lise Fuller's National Provider Identifier is 1780075176, issued on Feb 6, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Martinez, GA. The record was last updated on Feb 6, 2015.