Individual
JERRICA FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
11 GREEN ST, BATTLE CREEK, MI 49014-4028
(269) 419-1753
Mailing address
74 ROOSEVELT AVE W, BATTLE CREEK, MI 49037-2428
(269) 419-1753
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401014554
MI
Other
Enumeration date
07/13/2015
Last updated
09/07/2022
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