Fuller, James O.

Fuller, James O. is an sole proprietor health care provider with primary practice located at 718 W Spencer Ave , Marion IN 46952-3424. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Fuller, James O. can be contacted via phone (765) 677-2570.

Contact Information

Primary practice address
718 W Spencer Ave Marion IN 46952-3424
Phone: (765) 677-2570
Fax: (765) 677-1456
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 39000402A Indiana

Profile Details

NPI number 1154537959
LBN Legal business name Fuller, James O.
Credentials PH. D., LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 16th, 2007
Last updated Jul 8th, 2007 - about 19 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1154537959 NPPES
Indiana Other 39000402A LMHC NUMBER

Popular Providers