JACK MCBRYDE FULLER NPI 1164193421

NPI Information

Jack Mcbryde Fuller is a counselor in Solon, OH. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Jack Mcbryde Fuller NPI is 1164193421. 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:

33595 BAINBRIDGE RD STE 101
SOLON, OH
ZIP 44139-981
Phone: (800) 642-4560

The enumeration date for this NPI number is 9/25/2021 and was last updated on 9/25/2021.

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:

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