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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARTIA JERONDA FULLER

Active Sole Proprietor

MARTIA JERONDA FULLER is a Professional Counselor healthcare provider located in CHARLOTTE, North Carolina. NPI 1780150011 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · CHARLOTTE, NC

Registration Details

NPI Number
1780150011
Provider Type
Individual
Gender
Female
NPI Issued
Oct 14, 2018 (7.8092857514002 yrs)
Last Updated
Jan 3, 2020
License
A14117 (NC)
Sole Proprietor
Yes

Practice Information

Address
8401 MEDICAL PLAZA DR STE 360
CHARLOTTE, NC, 282628700
Browse NC providers · Browse ZIP 28262
Phone
7042084458
Fax
8663096385
Primary Specialty
Professional Counselor
101YP2500X

Other Professional Counselor Providers in CHARLOTTE, NC

Name Credential NPI
MR. JAMES MATTHEW GREEN LPC 1003890724
MS. VIVIAN CAROL VIVIAN CAROL 1043297443
MARION DENISE KUPPINGER M.S. 1316924467
MRS. REVELLA H NESBIT LCMHCS 1548248495
MIRIAM P. BUNDY LPC, CEAP 1639157316
MEGHAN E NOLAN MS LPC 1952371114
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.