Individual provider · Type 1 NPI

Candace Cargill-Fuller, CADC II

Addiction (Substance Use Disorder) Counselor · San Pedro, CA

NPI number 1962879452 Active

Practice location

590 W 8th St
San Pedro, CA 90731-3120

Call (310) 704-1336 Map

Fax (562) 599-6134

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 1962879452

Candace Cargill-Fuller, CADC II's National Provider Identifier is 1962879452, issued on Aug 31, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Pedro, CA. The record was last updated on Aug 31, 2015.