Individual provider · Type 1 NPI

Michael Fuller

Addiction (Substance Use Disorder) Counselor · San Diego, CA

NPI number 1740906544 Active

Practice location

2980 Cedar St
San Diego, CA 92102-1599

Call (858) 752-8538 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X12374 (CA)

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

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About NPI 1740906544

Michael Fuller's National Provider Identifier is 1740906544, issued on Oct 13, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Diego, CA. The record was last updated on Oct 13, 2022.