Cornelius Fuller, LBSW

NPI 1669686853 · on the registry since 2007

Practice

Address: 1 Parklane Blvd Ste 200e
Dearborn, MI 48126
Phone: (313) 846-2606
Organisation at this address: Psygenics Inc
Grow Your Mind Therapy
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 59

Additional practice sites

3011 W Grand Blvd, Detroit, MI

Registry record

Primary taxonomy: 104100000X
104100000X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-02-12

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 Michigan