Individual
DENISE V FULLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1405 N PATTERSON AVE, WINSTON SALEM, NC 27105-6029
(333) 484-1501
Mailing address
1405 N PATTERSON AVE, WINSTON SALEM, NC 27105-6029
(336) 484-1501
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1639592900
NC
101YM0800X
Mental Health Counselor
—
NC
Other
Enumeration date
10/14/2024
Last updated
10/28/2025
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