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Michael Charles Fuller JR.
Addiction (Substance Use Disorder) Counselor in Colton, California
NPI 1083084115

Michael Charles Fuller JR. is an Addiction (Substance Use Disorder) Counselor based in Colton, CA and is specialized in Addiction (Substance Use Disorder). Michael Charles Fuller JR. practices in Colton, CA. The NPI Number for Michael Charles Fuller JR. is 1083084115 and holds a License No. 17771 (California).

The current practice location address for Michael Charles Fuller JR. is 1076 Santo Antonio Dr, Colton, CA and can be reached out via phone at 909-433-9824.

Location: 1076 Santo Antonio Dr, Colton, CA, 92324-8103
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083084115
Provider Name
Michael Charles Fuller JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
1076 Santo Antonio Dr, Colton, CA, 92324-8103
Phone Number
909-433-9824
Fax Number
Provider Enumeration Date
10/01/2015
Last Update Date
07/20/2024
institution
Provider Business Practice Location Address Details
Address
1076 Santo Antonio Dr
City
Colton
State
California
Zip
92324-8103
Phone Number
909-433-9824
Fax Number
person
Provider Business Mailing Address Details
Address
1076 Santo Antonio Dr
City
Colton
State
California
Zip
92324-8103
Phone Number
909-433-9824
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
17771 (California)
Definition
Definition to come...
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