Individual
BARBARA JO FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1350 N ORANGE AVE, SUITE 223, WINTER PARK, FL 32789-4945
(407) 644-4367
Mailing address
7151 MAILLER ST, ORLANDO, FL 32818-8861
(407) 716-7668
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/20/2010
Last updated
08/20/2010
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