Individual
MR. JAKE E FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
142 E MAUMEE ST STE 3, ADRIAN, MI 49221-2735
(312) 718-4221
Mailing address
112 W SHAWNEE ST, TECUMSEH, MI 49286-1566
(312) 718-4221
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
Primary
6401226147
MI
Other
Enumeration date
03/21/2024
Last updated
04/13/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us