Individual
RYAN CHANDLER FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
148 WIND CHIME CT, RALEIGH, NC 27615-6581
(919) 263-4298
Mailing address
2416 VILLAGE GROVE RD, RALEIGH, NC 27613-3626
(336) 793-7297
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
20648A
NC
Other
Enumeration date
09/23/2025
Last updated
09/23/2025
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