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

Jack McBryde Fuller

Individual provider Counselor · NPI 1164193421

Jack McBryde Fuller is a Counselor in Solon, Ohio. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

33595 Bainbridge Rd Ste 101
Solon, OH 44139-2981
Phone: (800) 642-4560
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1164193421
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 25, 2021
Last updated in NPPESSeptember 25, 2021
Certification dateSeptember 25, 2021
Mailing address7575 Water Fall Trl, Chagrin Falls, OH 44022-3965

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