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Charmaine Fuller
Counselor in Mesa, Arizona
NPI 1689359911

Charmaine Fuller is a Counselor based in Mesa, AZ. Charmaine Fuller practices in Mesa, AZ. The NPI Number for Charmaine Fuller is 1689359911 and holds a License No. LAC-19920 (Arizona).

The current practice location address for Charmaine Fuller is 7565 E Eagle Crest Dr Ste 201, Mesa, AZ and can be reached out via phone at 480-788-5069.

Location: 7565 E Eagle Crest Dr Ste 201, Mesa, AZ, 85207-1067
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689359911
Provider Name
Charmaine Fuller
Credential
Provider Entity Type
Individual
Gender
Female
Address
7565 E Eagle Crest Dr Ste 201, Mesa, AZ, 85207-1067
Phone Number
480-788-5069
Fax Number
Provider Enumeration Date
06/15/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7565 E Eagle Crest Dr Ste 201
City
Mesa
State
Arizona
Zip
85207-1067
Phone Number
480-788-5069
Fax Number
person
Provider Business Mailing Address Details
Address
7565 E Eagle Crest Dr Ste 201
City
Mesa
State
Arizona
Zip
85207-1067
Phone Number
480-788-5069
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
LAC-19920 (Arizona)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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