Charlotte Fuller

NPI 1336296540 · on the registry since 2007

Practice

Address: 914 Mission Ave
San Rafael, CA 94901
Phone: (415) 457-6966
Fax: (415) 721-0281
Organisation at this address: Carlos Barahona
Buckelew Programs
Buckelew Programs
Buckelew Programs
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 86

Registry record

Primary taxonomy: Counselor
101Y00000X
Also registered as: Mental Health Counselor
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2016-05-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California