Organization
BARBARA B FULLER, LCSW,P.A.
Active
Organization
BARBARA B FULLER, LCSW,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BARBARA B FULLER LCSW (PRESIDENT)
(407) 894-5666
Entity
Organization
Contact information
Practice address
800 N FERNCREEK AVE, SUITE 2, ORLANDO, FL 32803-4127
(407) 894-5666
(407) 898-9321
Mailing address
800 N FERNCREEK AVE, SUITE 2, ORLANDO, FL 32803-4127
(407) 894-5666
(407) 898-9321
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0748AD363501
FL
1041C0700X
Clinical Social Worker
Primary
SW0000857
FL
Other
Enumeration date
03/20/2007
Last updated
12/29/2015
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