Fullerton, Charles Steven

Fullerton, Charles Steven is an individual health care provider with primary practice located at 2013 Devonshire Dr Ste 115 , Columbus GA 31904-6076. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Pastoral. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Fullerton, Charles Steven can be contacted via phone (706) 576-6575.

Contact Information

Primary practice address
2013 Devonshire Dr Ste 115 Columbus GA 31904-6076
Phone: (706) 576-6575
Fax: (706) 507-0590
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC6276 Georgia
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC6276 Georgia
Behavioral Health & Social Service Providers / Pastoral 101YP1600X LPC6276 Georgia

Profile Details

NPI number 1952428807
LBN Legal business name Fullerton, Charles Steven
Credentials MS, LPC, NCC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2007
Last updated Jun 29th, 2024 - about last year

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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