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Dr. James O. Fuller, PHD,LMHC
Mental Health Counselor in Marion, Indiana
NPI 1154537959

James O. Fuller is a Mental Health Counselor based in Marion, IN and is specialized in Mental Health. James O. Fuller practices in Marion, IN and has the professional credentials of PHD,LMHC. The NPI Number for James O. Fuller is 1154537959 and holds a License No. 39000402A (Indiana).

The current practice location address for James O. Fuller is 718 W Spencer Ave, Marion, IN and can be reached out via phone at 765-677-2570 and via fax at 765-677-1456.

Location: 718 W Spencer Ave, Marion, IN, 46952-3424
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154537959
Provider Name
James O. Fuller
Credential
PHD,LMHC
Provider Entity Type
Individual
Gender
Male
Address
718 W Spencer Ave, Marion, IN, 46952-3424
Phone Number
765-677-2570
Fax Number
765-677-1456
Provider Enumeration Date
05/16/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
39000402A 01 IN LMHC NUMBER
institution
Provider Business Practice Location Address Details
Address
718 W Spencer Ave
City
Marion
State
Indiana
Zip
46952-3424
Phone Number
765-677-2570
Fax Number
765-677-1456
person
Provider Business Mailing Address Details
Address
718 W Spencer Ave
City
Marion
State
Indiana
Zip
46952-3424
Phone Number
765-677-2570
Fax Number
765-677-1456
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
39000402A (Indiana)
Definition
Definition to come...
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