Charles Fuller, III
NPI #1053551036 in Holyoke, Massachusetts
Provider Information
- NPI Number
- 1053551036
- Entity Type
- Individual
- Name
- Charles Fuller, III
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Mar 3, 2009
- Last Updated
- Mar 3, 2009
Practice Location
- Address
- 319 BEECH ST
- City
- Holyoke
- State
- Massachusetts
- ZIP Code
- 01040-3925
- Phone
- (413) 540-1155
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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