MATTHEW CHRISTOPHER FULLEN LPCC
NPI 1447616933
Counselor - Professional in Westerville, OH
Active since January 13, 2016
About Matthew Christopher Fullen Lpcc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MATTHEW CHRISTOPHER FULLEN LPCC (NPI 1447616933) is an individual professional provider in Westerville, Ohio, licensed in Ohio (E.0900050) and active in the NPI registry since January 2016.
NPPES Registry Identity
NPI1447616933
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMATTHEW CHRISTOPHER FULLENCredential: LPCC
Location Address490 ONEIDA AVEWesterville, OH 43081-2617
Mailing Address490 Oneida AveWesterville, OH 43081-2617
Phone(614) 439-7238
Sole ProprietorYes
Enumeration DateJanuary 13, 2016
✔ NPI 1447616933 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OH · E.0900050
490 ONEIDA AVE, Westerville, OH 43081
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1447616933, enumerated as an "individual" on January 13, 2016.
The provider is located at 490 ONEIDA AVE WESTERVILLE, OH 43081 and the phone number is (614) 439-7238.
Counselor with taxonomy code 101YP2500X and a focus in Professional.