Individual provider · Type 1 NPI

Jennifer Ann Fuller

Mental Health Counselor · Long Beach, CA

NPI number 1386305928 Active

Practice location

1301 Pine Ave
Long Beach, CA 90813-3124

Call (562) 595-1159 Map

Mailing address

375 Termino Ave Apt I
Long Beach, CA 90814-2870

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X112365 (CA)
Rehabilitation Practitioner 225400000XNone listed
Mental Health Counselor Primary 101YM0800X112365 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1386305928

Jennifer Ann Fuller's National Provider Identifier is 1386305928, issued on Jan 5, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Long Beach, CA. The record was last updated on Jun 29, 2023.