Individual provider · Type 1 NPI

Kelly Sue Fuller, L.P.C.

Professional Counselor · Chesapeake, VA

NPI number 1871614115 Active

Practice location

1545 Crossways Blvd Ste 250
Chesapeake, VA 23320-0218

Call (757) 419-1726 Map

Mailing address

310 Flax Mill Way
Chesapeake, VA 23322-5893

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X4184 (NC)
Professional Counselor Primary 101YP2500X0701003292 (VA)

Professional Counselor: Definition to come...

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About NPI 1871614115

Kelly Sue Fuller, L.P.C.'s National Provider Identifier is 1871614115, issued on Apr 3, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Chesapeake, VA. The record was last updated on Apr 22, 2024.