Individual provider · Type 1 NPI

Charles Robert Fuller Ii, LPC-S

Professional Counselor · College Station, TX

NPI number 1952845240 Active

Practice location

511 University Dr E Ste 210
College Station, TX 77840-1748

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X72142 (TX)
Professional Counselor Primary 101YP2500X72142 (TX)
Counselor 101Y00000X72142 (TX)

Professional Counselor: Definition to come...

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About NPI 1952845240

Charles Robert Fuller Ii, LPC-S's National Provider Identifier is 1952845240, issued on Dec 6, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in College Station, TX. The record was last updated on Jul 30, 2026.