Most Relevant Information
Provider Data
| NPI Number: | 1003309774 |
| Provider Name: | SHELLI FULLUM |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: | C1400512 |
Most Important Dates
| Enumeration Date: | 06/07/2018 |
| Last Updated: | 06/07/2018 |
Provider Practice Location
611 W MARKET ST
AKRON
OH
443031406
Practice Location Phone/Fax
| Phone: | 3309964600 |
| Fax: | 3306430767 |
Provider Mailing Location
611 W MARKET ST
AKRON
OH
443031406
Provider Mailing Phone/Fax
| Phone: | 3309964600 |
| Fax: | 3306430767 |