Individual
RICHETRINA FULLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCS
Contact information
Practice address
145 REMOUNT RD, CHARLOTTE, NC 28203-5013
(704) 332-9001
(704) 332-0124
Mailing address
145 REMOUNT RD, CHARLOTTE, NC 28203-5013
(704) 332-9001
(704) 332-0124
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/22/2007
Last updated
10/22/2007
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