Organization
FULLER LIFE STRATEGIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLARA MELINDA FULLER MS, LPC (OWNER)
(843) 661-6030
Entity
Organization
Contact information
Practice address
1803 CHEROKEE RD, FLORENCE, SC 29501-4184
(843) 661-6030
(843) 679-2633
Mailing address
1803 CHEROKEE RD, FLORENCE, SC 29501-4184
(843) 661-6030
(843) 679-2633
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4040
SC
Other
Enumeration date
11/20/2006
Last updated
03/13/2013
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