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Mr. Charles Robert Fuller II, LPC-S
Professional Counselor in Bryan, Texas
NPI 1952845240

Charles Robert Fuller II is a Professional Counselor based in Bryan, TX and is specialized in Professional. Charles Robert Fuller II practices in Bryan, TX and has the professional credentials of LPC-S. The NPI Number for Charles Robert Fuller II is 1952845240 and holds a License No. 72142 (Texas).

The current practice location address for Charles Robert Fuller II is 3201 University Dr E Ste 150, Bryan, TX and can be reached out via phone at 979-777-5545. You can also correspond with Charles Robert Fuller II through the mailing address at 1716 BRIARCREST DR STE 300, BRYAN, TX - 77802-2777 (mailing address contact number: 979-431-5413).

Location: 3201 University Dr E Ste 150, Bryan, TX, 77802-2777
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952845240
Provider Name
Charles Robert Fuller II
Credential
LPC-S
Provider Entity Type
Individual
Gender
Male
Address
3201 University Dr E Ste 150, Bryan, TX, 77802-2777
Phone Number
979-777-5545
Fax Number
Provider Enumeration Date
12/06/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3201 University Dr E Ste 150
City
Bryan
State
Texas
Zip
77802-3487
Phone Number
979-777-5545
Fax Number
person
Provider Business Mailing Address Details
Address
3201 University Dr E Ste 150
City
Bryan
State
Texas
Zip
77802-3487
Phone Number
979-777-5545
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
72142 (Texas)
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.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
72142 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
72142 (Texas)
Definition
Definition to come...
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