Individual provider · Type 1 NPI

Mary-Bianca Gabrielle Fuller

Mental Health Counselor · Chicago, IL

NPI number 1952806309 Active

Practice location

2000 N Racine Ave Ste 3300
Chicago, IL 60614-7008

Call (312) 485-3669 Map

Mailing address

2000 N Racine Ave
Chicago, IL 60614-7006

Other practice locations

  • 4152 30th Ave S Ste 104, Fargo, ND 58104-8403 · (701) 364-2663

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1952806309

Mary-Bianca Gabrielle Fuller's National Provider Identifier is 1952806309, issued on Mar 28, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chicago, IL. The record was last updated on Aug 30, 2023.