Individual provider · Type 1 NPI

Erica Fuller, MA, CADC III

Addiction (Substance Use Disorder) Counselor · Prineville, OR

NPI number 1487930681 Active

Practice location

1333 NW 9th St
Prineville, OR 97754-1482

Call (541) 447-2631 Map

Fax (541) 447-2616

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X06-11-92 (OR)
Mental Health Counselor 101YM0800XNone listed

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

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About NPI 1487930681

Erica Fuller, MA, CADC III's National Provider Identifier is 1487930681, issued on Nov 1, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Prineville, OR. The record was last updated on Nov 1, 2011.