| Fuller Family Counseling L.l.c | |
|
112 W Shawnee St Tecumseh MI 49286-1566 | |
| (312) 718-4221 | |
| Not Available |
| Full Name | Fuller Family Counseling L.l.c |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 112 W Shawnee St, Tecumseh, Michigan |
| Authorized Official Name and Position | Jake Edward Fuller (MANAGING MEMBER) |
| Authorized Official Contact | 3127184221 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fuller Family Counseling L.l.c 112 W Shawnee St Tecumseh MI 49286-1566 Ph: (312) 718-4221 | Fuller Family Counseling L.l.c 112 W Shawnee St Tecumseh MI 49286-1566 Ph: (312) 718-4221 |
| NPI Number | 1821808296 |
|---|---|
| Provider Enumeration Date | 01/08/2025 |
| Last Update Date | 01/08/2025 |
| Certification Date | 01/08/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821808296 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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