Individual
DR. MAXINE WILLIFORD FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., LPC, ED.D
Contact information
Practice address
137 CAHABA RIVER PARC, BIRMINGHAM, AL 35243-3250
(205) 914-7174
Mailing address
137 CAHABA RIVER PARC, BIRMINGHAM, AL 35243-3250
(205) 914-7174
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0701012155
VA
101YP2500X
Professional Counselor
Primary
2703
AL
Other
Enumeration date
05/10/2016
Last updated
04/02/2024
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