person
Amy M Fuller, PHD
Professional Counselor in San Antonio, Texas
NPI 1184730756

Amy M Fuller is a Professional Counselor based in San Antonio, TX and is specialized in Professional. Amy M Fuller practices in San Antonio, TX and has the professional credentials of PHD. The NPI Number for Amy M Fuller is 1184730756 and holds a License No. 17295LPC (Texas).

The current practice location address for Amy M Fuller is 1380 Pantheon Way, San Antonio, TX and can be reached out via phone at 210-393-4650 and via fax at 210-694-4600. You can also correspond with Amy M Fuller through the mailing address at 1380 PANTHEON WAY, SAN ANTONIO, TX - 78232 (mailing address contact number: 210-393-4650).

Location: 1380 Pantheon Way, San Antonio, TX, 78232
person
Provider Profile Details
NPI Number
1184730756
Provider Name
Amy M Fuller
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
1380 Pantheon Way, San Antonio, TX, 78232
Phone Number
210-393-4650
Fax Number
210-694-4600
Provider Enumeration Date
08/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5169LC 01 BCBS
456168 01 VALUE OPTIONS
institution
Provider Business Practice Location Address Details
Address
1380 Pantheon Way
City
State
Zip
78232
Phone Number
210-393-4650
Fax Number
210-694-4600
person
Provider Business Mailing Address Details
Address
1380 Pantheon Way
City
State
Zip
78232
Phone Number
210-393-4650
Fax Number
210-694-4600
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
17295LPC (Texas)
Definition
Definition to come...
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