Individual provider · Type 1 NPI

Alan J. Fuller, CADC II

Addiction (Substance Use Disorder) Counselor · Fort Oglethorpe, GA

NPI number 1922567965 Active

Practice location

2007 Old Lafayette Rd
Fort Oglethorpe, GA 30742-3510

Fax (706) 866-4740

Mailing address

PO Box 4236
Maryville, TN 37802-4236

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X1213 (GA)

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

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About NPI 1922567965

Alan J. Fuller, CADC II's National Provider Identifier is 1922567965, issued on Mar 19, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fort Oglethorpe, GA. The record was last updated on Mar 19, 2019.