Individual provider · Type 1 NPI

Martia Jeronda Fuller

Professional Counselor · Charlotte, NC

NPI number 1780150011 Active

Practice location

8401 Medical Plaza Dr Ste 360
Charlotte, NC 28262-8700

Call (704) 208-4458 Map

Fax (866) 309-6385

Mailing address

204 Sycamore St
Oxford, NC 27565-3625

Other practice locations

  • 1788 Heritage Center Dr Ste 202, Wake Forest, NC 27587-3972 · (919) 435-7920

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XA14117 (NC)

Professional Counselor: Definition to come...

8 other providers at this address

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About NPI 1780150011

Martia Jeronda Fuller's National Provider Identifier is 1780150011, issued on Oct 14, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Charlotte, NC. The record was last updated on Jan 3, 2020.