Trisha Fuller, LCSW

NPI #1225648652 in Carterville, Illinois

Provider Information

NPI Number: 1225648652
Entity Type: Individual
Name: Trisha Fuller, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Jul 31, 2020
Last Updated: Feb 24, 2022

Practice Location

Address: 403 MUNICIPAL DR
City: Carterville
State: Illinois
ZIP Code: 62918-2042
Phone: (855) 608-3560

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary
Counselor	101Y00000X

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