person
Martia Jeronda Fuller
Professional Counselor in Charlotte, North Carolina
NPI 1780150011

Martia Jeronda Fuller is a Professional Counselor based in Oxford, NC and is specialized in Professional. Martia Jeronda Fuller practices in Charlotte, NC. The NPI Number for Martia Jeronda Fuller is 1780150011 and holds a License No. A14117 (North Carolina).

The current practice location address for Martia Jeronda Fuller is 8401 Medical Plaza Dr Ste 360, Charlotte, NC and can be reached out via phone at 704-208-4458 and via fax at 866-309-6385.

Location: 8401 Medical Plaza Dr Ste 360, Charlotte, NC, 27565-3625
person
Provider Profile Details
NPI Number
1780150011
Provider Name
Martia Jeronda Fuller
Credential
Provider Entity Type
Individual
Gender
Female
Address
8401 Medical Plaza Dr Ste 360, Charlotte, NC, 27565-3625
Phone Number
704-208-4458
Fax Number
866-309-6385
Provider Enumeration Date
10/14/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8401 Medical Plaza Dr Ste 360
City
State
Zip
28262-8700
Phone Number
704-208-4458
Fax Number
866-309-6385
person
Provider Business Mailing Address Details
Address
8401 Medical Plaza Dr Ste 360
City
State
Zip
28262-8700
Phone Number
704-208-4458
Fax Number
866-309-6385
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
A14117 (North Carolina)
Definition
Definition to come...
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