Individual provider · Type 1 NPI

Jacqueline L. Fuller

Addiction (Substance Use Disorder) Counselor · Baltimore, MD

NPI number 1144917501 Active

Practice location

821 N Eutaw St Ste 201
Baltimore, MD 21201-6301

Call (410) 225-9185 Map

Fax (410) 225-7964

Mailing address

27 Timber Grove Rd
Owings Mills, MD 21117-1820

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XADT2363 (MD)

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

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About NPI 1144917501

Jacqueline L. Fuller's National Provider Identifier is 1144917501, issued on Apr 18, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Baltimore, MD. The record was last updated on Apr 18, 2023.