Fuller, Charlotte

Fuller, Charlotte is an individual health care provider with primary practice located at 914 Mission Ave , San Rafael CA 94901-6106. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Fuller, Charlotte can be contacted via phone (415) 457-6966.

Contact Information

Primary practice address
914 Mission Ave San Rafael CA 94901-6106
Phone: (415) 457-6966
Fax: (415) 721-0281
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Counselor 101Y00000X California

Profile Details

NPI number 1336296540
LBN Legal business name Fuller, Charlotte
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2007
Last updated May 16th, 2016 - about 10 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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