Individual provider · Type 1 NPI

Robert Fuller

Addiction (Substance Use Disorder) Counselor · Upland, CA

NPI number 1609998459 Active

Practice location

239 W 9th St
Upland, CA 91786-5979

Call (909) 981-6121 Map

Mailing address

2948 Genevieve St
San Bernardino, CA 92405-3520

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XAII053220318 (CA)

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

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About NPI 1609998459

Robert Fuller's National Provider Identifier is 1609998459, issued on Apr 4, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Upland, CA. The record was last updated on Oct 26, 2023.