JAKE E FULLER

ADRIAN, MI
NPI1477313815
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: MI  6401226147)
Enumeration Date2024-03-21
Last Update Date2026-04-13
Business Address
Mr. JAKE E FULLER LPC
142 E MAUMEE ST STE 3
ADRIAN, MI 49221-2735
Phone number: 312-718-4221
Mailing Address
Mr. JAKE E FULLER LPC
112 W SHAWNEE ST
TECUMSEH, MI 49286-1566
Phone number: 312-718-4221
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