MR. Charles Robert Fuller II, LPC-S

NPI #1952845240 in Bryan, Texas

Provider Information

NPI Number: 1952845240
Entity Type: Individual
Name: MR. Charles Robert Fuller II, LPC-S
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: LPC-S
Enumeration Date: Dec 6, 2016
Last Updated: Sep 20, 2023

Practice Location

Address: 3201 UNIVERSITY DR E STE 150
City: Bryan
State: Texas
ZIP Code: 77802-3487
Phone: (979) 777-5545

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Counselor - Mental Health — Mental Health	101YM0800X
Counselor - Professional — Professional	101YP2500X	Primary

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