Individual
MATTHEW CHRISTOPHER FULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
490 ONEIDA AVE, WESTERVILLE, OH 43081-2617
(614) 439-7238
Mailing address
490 ONEIDA AVE, WESTERVILLE, OH 43081-2617
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E.0900050
OH
Other
Enumeration date
01/13/2016
Last updated
01/13/2016
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