Fuller, Kelly Sue

Fuller, Kelly Sue is an sole proprietor health care provider with primary practice located at 1545 Crossways Blvd Ste 250 , Chesapeake VA 23320-0218. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Fuller, Kelly Sue can be contacted via phone (757) 419-1726.

Contact Information

Primary practice address
1545 Crossways Blvd Ste 250 Chesapeake VA 23320-0218
Phone: (757) 419-1726
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 4184 North Carolina
Behavioral Health & Social Service Providers / Professional 101YP2500X 0701003292 Virginia

Profile Details

NPI number 1871614115
LBN Legal business name Fuller, Kelly Sue
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 3rd, 2007
Last updated Apr 22nd, 2024 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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