Nina Vanbrocklin Fuller, LCPC-C
NPI #1124423413 in Hollis Center, Maine
Provider Information
- NPI Number
- 1124423413
- Entity Type
- Individual
- Name
- Nina Vanbrocklin Fuller, LCPC-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- LCPC-C
- Enumeration Date
- Oct 29, 2014
- Last Updated
- Oct 29, 2014
Practice Location
- Address
- 335 LITTLE FALLS RD
- City
- Hollis Center
- State
- Maine
- ZIP Code
- 04042-3921
- Phone
- (207) 650-8963
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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