Individual
MR. ADRIAN K FULLER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., ED.S
Contact information
Practice address
740 FLORIDA CENTRAL PKWY STE 1028, LONGWOOD, FL 32750-7652
(407) 774-2284
(407) 774-2285
Mailing address
740 FLORIDA CENTRAL PKWY STE 1028, LONGWOOD, FL 32750-7652
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/13/2012
Last updated
09/13/2012
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