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

Mallory Fuller, MA

Individual provider Mental Health Counselor · NPI 1346016698

Mallory Fuller, MA is a Mental Health Counselor in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2023.

Licensed in
FL
In the registry since
2023
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

See every abbreviation used in this directory →

Practice location Address checks out

4686 Sunbeam Rd
Jacksonville, FL 32257-6189
Phone: (904) 302-5340
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence MH25058 (FL)

Record details

NPI number1346016698
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA
Sole proprietorNo
NPI enumeratedNovember 28, 2023
Last updated in NPPESJune 10, 2026
Certification dateJune 10, 2026
Mailing address4686 Sunbeam Rd, Jacksonville, FL 32257-6189

Other providers in Jacksonville