Individual provider · Type 1 NPI

Chauncey Fuller

Addiction (Substance Use Disorder) Counselor · Shelby, OH

NPI number 1750273652 Active

Practice location

2775 State Route 39
Shelby, OH 44875-9466

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.192941 (OH)

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

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About NPI 1750273652

Chauncey Fuller's National Provider Identifier is 1750273652, issued on Jul 16, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Shelby, OH. The record was last updated on Jul 16, 2025.