Fuller, Charles Robert

Fuller, Charles Robert is an individual health care provider with primary practice located at 3201 University Dr E Ste 150 , Bryan TX 77802-3487. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Fuller, Charles Robert can be contacted via phone (979) 777-5545.

Contact Information

Primary practice address
3201 University Dr E Ste 150 Bryan TX 77802-3487
Phone: (979) 777-5545
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 72142 Texas
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 72142 Texas
Behavioral Health & Social Service Providers / Professional 101YP2500X 72142 Texas

Profile Details

NPI number 1952845240
LBN Legal business name Fuller, Charles Robert
Credentials LPC-S
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2016
Last updated Sep 20th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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