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Individual

MEGAN FULLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
2715 COLONIAL DR STE 100A, COLUMBIA, SC 29203-6818
(803) 898-4777
Mailing address
27600 W MAY ST, WAUCONDA, IL 60084-1620
(847) 370-0728

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
178.018760
IL
101YM0800X
Mental Health Counselor

Other

Enumeration date
02/06/2020
Last updated
07/31/2024
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