DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: CHARMAINE FULLER

MEDICARE: CHARMAINE FULLER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselorLAC-19920AZ

General Provider Information

NPI Number : 1689359911
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARMAINE FULLER
Provider Business Mailing Address
First Line : 7565 E EAGLE CREST DR STE 201
Second Line :
City : MESA
State : AZ
Zip : 85207-1067
Country : US
Telephone Number : 480-788-5069
Fax Number :
Provider Business Practice Location Address
First Line : 7565 E EAGLE CREST DR STE 201
Second Line :
City : MESA
State : AZ
Zip : 85207-1067
Country : US
Telephone Number : 480-788-5069
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2023
Last Update Date : 06/15/2023

Similar Medicare Providers

1679879902 — MRS. NATASHA ANN LOPEZ
Practice Location Address:
7565 E EAGLE CREST DR STE 201
MESA, AZ
85207-1067
Practice Phone: 480-788-5069
Practice Fax: 480-634-8850
1386066181 — DESERT VISTA COUNSELING SERVICES
Practice Location Address:
7565 E EAGLE CREST DR STE 201
MESA, AZ
85207-1067
Practice Phone: 480-788-5069
Practice Fax:
1326737560 — SHANNON BAROUSSE LMFT
Practice Location Address:
7565 E EAGLE CREST DR STE 201
MESA, AZ
85207-1067
Practice Phone: 480-788-5069
Practice Fax:
1386337566 — HOLLY BEUS LAC
Practice Location Address:
7565 E EAGLE CREST DR STE 201
MESA, AZ
85207-1067
Practice Phone: 480-201-1427
Practice Fax:
1265116503 — DENISE STANFIELD
Practice Location Address:
7565 E EAGLE CREST DR STE 201
MESA, AZ
85207-1067
Practice Phone: 480-788-5069
Practice Fax:
1952085284 — DONNELLA COREY LPC
Practice Location Address:
7565 E EAGLE CREST DR STE 201
MESA, AZ
85207-1067
Practice Phone: 480-788-5069
Practice Fax:

Directions to “ CHARMAINE FULLER ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.