Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Charmaine Fuller

Individual provider Counselor · NPI 1689359911

Charmaine Fuller is a Counselor in Mesa, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2023
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Practice location Address checks out

7565 E Eagle Crest Dr Ste 201
Mesa, AZ 85207-1067
Phone: (480) 788-5069
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence LAC-19920 (AZ)

Record details

NPI number1689359911
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 15, 2023
Last updated in NPPESJune 15, 2023
Certification dateJune 15, 2023

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