Kelly Anne Fuller Valid NPI
Individual provider · Marriage & Family Therapist · Rialto, CA
- NPI
- 1861964553
- Type
- Individual (Type 1)
- Primary specialty
- Marriage & Family Therapist
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 106H00000X
- License number
- 100457 (CA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2018-12-19
- Last updated
- 2018-12-19
Practice location
850 E Foothill Blvd
Rialto, CA 92376-5230
(909) 580-2866