Charlotte Fuller Valid NPI
Individual provider · Counselor · San Rafael, CA
- NPI
- 1336296540
- Type
- Individual (Type 1)
- Primary specialty
- Counselor
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101Y00000X
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2007-01-03
- Last updated
- 2016-05-16
Practice location
914 Mission Ave
San Rafael, CA 94901-6106
(415) 457-6966