Individual provider · Type 1 NPI

Robert R. Fulgham, SUDCC II

Addiction (Substance Use Disorder) Counselor · San Andreas, CA

NPI number 1306984778 Active

Practice location

590 Toyanza Drive
San Andreas, CA 95249-9713

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1306984778

Robert R. Fulgham, SUDCC II's National Provider Identifier is 1306984778, issued on Feb 1, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Andreas, CA. The record was last updated on Oct 9, 2025.