Individual provider · Type 1 NPI

Allen Fuller

Addiction (Substance Use Disorder) Counselor · Largo, MD

NPI number 1073347076 Active

Practice location

9500 Medical Center Dr Ste 104
Largo, MD 20774-3703

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XAC1689 (MD)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1073347076

Allen Fuller's National Provider Identifier is 1073347076, issued on Aug 30, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Largo, MD. The record was last updated on Aug 30, 2024.