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

Martia Jeronda Fuller

Individual provider Professional Counselor · NPI 1780150011

Martia Jeronda Fuller is a Professional Counselor in Charlotte, North Carolina. Practices as a sole proprietor and works from 2 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2018

Practice location Address checks out

8401 Medical Plaza Dr Ste 360
Charlotte, NC 28262-8700
Phone: (704) 208-4458
Fax: (866) 309-6385
Show map & directions

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

Additional practice locations (1)

  • 1788 Heritage Center Dr Ste 202, Wake Forest, NC 27587-3972 — (919) 435-7920

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence A14117 (NC)

Record details

NPI number1780150011
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 14, 2018
Last updated in NPPESJanuary 3, 2020
Certification dateJanuary 3, 2020

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