Individual provider · Type 1 NPI

Tracey Fuller

Professional Counselor · Campbell, CA

NPI number 1851839336 Active

Practice location

1600 W Campbell Ave, Suite 201
Campbell, CA 95008-1526

Call (408) 871-4900 Map

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed
Case Manager/Care Coordinator 171M00000XNone listed

Professional Counselor: Definition to come...

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About NPI 1851839336

Tracey Fuller's National Provider Identifier is 1851839336, issued on Feb 6, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Campbell, CA. The record was last updated on May 4, 2017.