Individual
MRS. LINDA SUE FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
112 MARIE TRCE, BRUNSWICK, GA 31525-8310
(919) 696-9300
Mailing address
112 MARIE TRCE, BRUNSWICK, GA 31525-8310
(919) 696-9300
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-28705
NC
101YM0800X
Mental Health Counselor
Primary
17374
NC
Other
Enumeration date
02/23/2022
Last updated
12/15/2025
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