Individual
ALESIA FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CBHT
Contact information
Practice address
6848 STIRLING RD, HOLLYWOOD, FL 33024
(954) 362-0104
(954) 364-4595
Mailing address
401 E LAS OLAS BLVD STE 130-514, FT LAUDERDALE, FL 33301-2210
(954) 316-1200
(954) 378-1463
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/29/2014
Last updated
08/27/2018
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