| Jessica Fuller Licsw Llc | |
|
205b Willow St Ste B3a South Hamilton MA 01982-2228 | |
| (413) 238-1571 | |
| Not Available |
| Full Name | Jessica Fuller Licsw Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 205b Willow St Ste B3a, South Hamilton, Massachusetts |
| Authorized Official Name and Position | Jessica Fuller (OWNER/THERAOUST) |
| Authorized Official Contact | 4132381571 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Fuller Licsw Llc 205b Willow St Ste B3a South Hamilton MA 01982-2228 Ph: (413) 238-1571 | Jessica Fuller Licsw Llc 205b Willow St Ste B3a South Hamilton MA 01982-2228 Ph: (413) 238-1571 |
| NPI Number | 1104757913 |
|---|---|
| Provider Enumeration Date | 05/28/2026 |
| Last Update Date | 05/28/2026 |
| Certification Date | 05/28/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104757913 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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