Individual
CHRISTOPHER FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
620 E AFTON OAKS BLVD, SAN ANTONIO, TX 78232-1236
(210) 568-8600
Mailing address
620 E AFTON OAKS BLVD, SAN ANTONIO, TX 78232-1236
(210) 568-8600
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
70793
TX
Other
Enumeration date
11/10/2015
Last updated
11/10/2015
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