Individual provider · Type 1 NPI

Latasha Fuller

Adult Mental Health Clinic/Center · Lake Elsinore, CA

NPI number 1184330193 Active

Practice location

31764 Casino Dr
Lake Elsinore, CA 92530-2312

Call (951) 471-4645 Map

Specialties and licenses

TaxonomyCodeLicense
Adult Mental Health Clinic/Center Primary 261QM0850XNone listed

Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

23 other providers at this address

About NPI 1184330193

Latasha Fuller's National Provider Identifier is 1184330193, issued on Jan 24, 2023. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Lake Elsinore, CA. The record was last updated on Jan 24, 2023.