MR. CHARLES ROBERT FULLER LPC-S NPI 1952845240

NPI Information

NPI: 1952845240
Provider Name: MR. CHARLES ROBERT FULLER, LPC-S
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

PECOS Registration: Yes

Address:
3201 UNIVERSITY DR E STE 150
BRYAN, TX
ZIP 77802
Phone: (979) 777-5545
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MR. Charles Robert Fuller, LPC-S is a professional counselor in Bryan, TX. MR. Charles Robert Fuller, LPC-S NPI is 1952845240. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3201 UNIVERSITY DR E STE 150
BRYAN, TX
ZIP 77802-487
Phone: (979) 777-5545

The NPI 1952845240 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 12/6/2016 and was last updated on 9/20/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		72142	TEXAS	No
2	101YM0800X	Counselor	Mental Health	72142	TEXAS	No
3	101YP2500X	Counselor	Professional	72142	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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