Individual provider · Type 1 NPI

Jillian Joan Fuller

Addiction (Substance Use Disorder) Counselor · Coburg, OR

NPI number 1619657939 Active

Practice location

1 Serenity Ln
Coburg, OR 97408-9350

Call (541) 284-5704 Map

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 1619657939

Jillian Joan Fuller's National Provider Identifier is 1619657939, issued on Jul 21, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Coburg, OR. The record was last updated on Jan 5, 2024.