Organization
C.H. FULLER & ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLIFTON HENRY FULLER LMSW, LPC, LMFT (OWNER)
(210) 970-1511
Entity
Organization
Contact information
Practice address
12951 HUEBNER RD STE 781466, SAN ANTONIO, TX 78230-9998
(210) 970-1511
Mailing address
12951 HUEBNER RD STE 781466, SAN ANTONIO, TX 78230-9998
(210) 970-1511
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
9189
TX
1041C0700X
Clinical Social Worker
Primary
299
TX
106H00000X
Marriage & Family Therapist
1081
TX
Other
Enumeration date
10/11/2013
Last updated
08/22/2023
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