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

Individual provider Marriage & Family Therapist · NPI 1417551409

Mikhael James Fuller, MA is a Marriage & Family Therapist in Vancouver, Washington. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2020
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

3002 Main St
Vancouver, WA 98663-2750
Phone: (925) 403-1737
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 954 Risa Rd Ste A, Lafayette, CA 94549-3418 — (925) 403-1737

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 123166 (CA)

Record details

NPI number1417551409
Entity typeIndividual (Type 1)
GenderMale
Credentials MA
Sole proprietorYes
NPI enumeratedNovember 30, 2020
Last updated in NPPESJune 4, 2021
Certification dateJune 4, 2021

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