Individual
JENNIFER FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Credential
CMHC, NBC-HWC
Contact information
Practice address
86 LAKE ST STE 302, BURLINGTON, VT 05401-5297
(802) 999-7941
Mailing address
171 SARATOGA AVE, BURLINGTON, VT 05408-1121
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/16/2025
Last updated
08/19/2025
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