Individual provider · Type 1 NPI

Ilea Fuller, LPC, CAADC

Addiction (Substance Use Disorder) Counselor · Hancock, MI

NPI number 1467988170 Active

Practice location

540 Depot St
Hancock, MI 49930-2031

Call (906) 482-7282 Map

Mailing address

25901 E Pine St
Calumet, MI 49913-1257

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor 101YM0800X6401019086 (MI)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XC-03721 (MI)

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

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About NPI 1467988170

Ilea Fuller, LPC, CAADC's National Provider Identifier is 1467988170, issued on May 2, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Hancock, MI. The record was last updated on Apr 9, 2024.