Individual
JENNIFER FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5231 WILLOW RIDGE LN, PINSON, AL 35126-3533
(334) 322-3772
Mailing address
5231 WILLOW RIDGE LN, PINSON, AL 35126-3533
(334) 322-3772
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
C3716A
AL
101YP2500X
Professional Counselor
Primary
LPC04879
AL
Other
Enumeration date
04/07/2021
Last updated
08/07/2023
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