Jack Mcbryde Fuller

NPI #1164193421 in Solon, Ohio

Provider Information

NPI Number: 1164193421
Entity Type: Individual
Name: Jack Mcbryde Fuller
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Sep 25, 2021
Last Updated: Sep 25, 2021

Practice Location

Address: 33595 BAINBRIDGE RD STE 101
City: Solon
State: Ohio
ZIP Code: 44139-2981
Phone: (800) 642-4560

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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