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

Larry Dewitt Fuller Jr., MA

Individual provider Professional Counselor · NPI 1700209327

Larry Dewitt Fuller Jr., MA is a Professional Counselor in Villa Rica, Georgia. Licensed in Georgia. Registered with an NPI since 2014.

Licensed in
GA
In the registry since
2014
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

307 Old Stone Rd
Villa Rica, GA 30180-1214
Phone: (770) 459-8799
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPC007525 (GA)

Record details

NPI number1700209327
Entity typeIndividual (Type 1)
GenderMale
Credentials MA
Sole proprietorNo
NPI enumeratedFebruary 3, 2014
Last updated in NPPESFebruary 3, 2014

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