Individual provider · Type 1 NPI

Jeffrey Fuller, CADC

Addiction (Substance Use Disorder) Counselor · Bangor, ME

NPI number 1679013296 Active

Practice location

98 Cumberland St
Bangor, ME 04401-5234

Call (207) 941-1600 Map

Fax (207) 941-1608

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCAC6232 (ME)

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

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About NPI 1679013296

Jeffrey Fuller, CADC's National Provider Identifier is 1679013296, issued on Mar 1, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bangor, ME. The record was last updated on Mar 1, 2017.