Individual provider · Type 1 NPI

Laurina D. Fullam, LADC, LCMHC

Addiction (Substance Use Disorder) Counselor · Delray Beach, FL

NPI number 1952712002 Active

Practice location

3333 S Congress Ave
Delray Beach, FL 33445-7308

Mailing address

PO Box G
Randolph, VT 05060-0167

Other practice locations

  • 11 N Main St, Randolph, VT 05060-1126 · (802) 728-4466

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X000625 (VT)

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

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About NPI 1952712002

Laurina D. Fullam, LADC, LCMHC's National Provider Identifier is 1952712002, issued on May 12, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Delray Beach, FL. The record was last updated on Nov 3, 2023.