Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LARRY DEWITT FULLER JR., M.A.
ActiveLARRY DEWITT FULLER JR., M.A. is a Professional Counselor healthcare provider located in VILLA RICA, Georgia. NPI 1700209327 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · VILLA RICA, GA
Registration Details
- NPI Number
- 1700209327
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 3, 2014 (12.501736077254 yrs)
- Last Updated
- Feb 3, 2014
- License
-
LPC007525 (GA)
Practice Information
- Address
-
307 OLD STONE RDVILLA RICA, GA, 301801214Browse GA providers · Browse ZIP 30180
- Phone
- 7704598799
- Primary Specialty
-
Professional Counselor
101YP2500X
Other Professional Counselor Providers in VILLA RICA, GA
| Name | Credential | NPI |
|---|---|---|
| MS. SHERRI J. MCCOY | L.P.C. | 1154393718 |
| KAREN L. WOLFE | M.A. | 1730268152 |
| ERIC L. DANSBY | LPC | 1144375254 |
| DR. REBECCA ANN STANARD | PH.D. LPC | 1902930134 |
| MRS. DANA MICHELLE NUMMERDOR | M.A., LPC, NCC | 1144425307 |
| MRS. JENNIFER BENSON GRIZZARD | LPC | 1336344456 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.