Individual
CHRISTI FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHCA
Contact information
Practice address
8406 SIX FORKS RD STE 204, RALEIGH, NC 27615-3074
(919) 671-9656
Mailing address
160 WINCHESTER DR, WENDELL, NC 27591-9526
(919) 630-6922
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A18629
NC
Other
Enumeration date
03/15/2023
Last updated
03/15/2023
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