Kalli Fuller, LSW Valid NPI

Individual provider · Mental Health Counselor · Coal City, IL

NPI

1790507853

Type

Individual (Type 1)

Primary specialty

Mental Health Counselor (Counselor)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

101YM0800X

License number

150.114766 (IL)

Sex

Female

Sole proprietor

Yes

Enumerated

2024-10-29

Last updated

2024-10-29