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Emmett Frazer Fuller, MA,LPC
Professional Counselor in Marietta, Georgia
NPI 1538257928

Emmett Frazer Fuller is a Professional Counselor based in Marietta, GA and is specialized in Professional. Emmett Frazer Fuller practices in Marietta, GA and has the professional credentials of MA,LPC. The NPI Number for Emmett Frazer Fuller is 1538257928 and holds a License No. 001674 (Georgia).

The current practice location address for Emmett Frazer Fuller is 122 Cherry St Ne, Marietta, GA and can be reached out via phone at 770-427-2911 and via fax at 770-321-2479. You can also correspond with Emmett Frazer Fuller through the mailing address at 899 BURNS DR SE, MARIETTA, GA - 30067-7111 (mailing address contact number: 770-321-3424).

Location: 122 Cherry St Ne, Marietta, GA, 30067-7111
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Provider Profile Details
NPI Number
1538257928
Provider Name
Emmett Frazer Fuller
Credential
MA,LPC
Provider Entity Type
Individual
Gender
Male
Address
122 Cherry St Ne, Marietta, GA, 30067-7111
Phone Number
770-427-2911
Fax Number
770-321-2479
Provider Enumeration Date
10/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11538751 01 GA AETNA PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
122 Cherry St Ne
City
State
Zip
30060-7206
Phone Number
770-427-2911
Fax Number
770-321-2479
person
Provider Business Mailing Address Details
Address
122 Cherry St Ne
City
State
Zip
30060-7206
Phone Number
770-427-2911
Fax Number
770-321-2479
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
001674 (Georgia)
Definition
Definition to come...
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