Individual provider · Type 1 NPI

Moneth Fuller

Addiction (Substance Use Disorder) Counselor · Detroit, MI

NPI number 1801412994 Active

Practice location

15025 Fenkell St
Detroit, MI 48227-2647

Call (313) 340-2791 Map

Fax (313) 345-4315

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 1801412994

Moneth Fuller's National Provider Identifier is 1801412994, issued on Jun 24, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Detroit, MI. The record was last updated on Jun 24, 2020.