person
Jacqueline L Fuller
Addiction (Substance Use Disorder) Counselor in Baltimore, Maryland
NPI 1144917501

Jacqueline L Fuller is an Addiction (Substance Use Disorder) Counselor based in Owings Mills, MD and is specialized in Addiction (Substance Use Disorder). Jacqueline L Fuller practices in Baltimore, MD. The NPI Number for Jacqueline L Fuller is 1144917501 and holds a License No. ADT2363 (Maryland).

The current practice location address for Jacqueline L Fuller is 821 N Eutaw St Ste 201, Baltimore, MD and can be reached out via phone at 410-225-9185 and via fax at 410-225-7964.

Location: 821 N Eutaw St Ste 201, Baltimore, MD, 21117-1820
person
Provider Profile Details
NPI Number
1144917501
Provider Name
Jacqueline L Fuller
Credential
Provider Entity Type
Individual
Gender
Female
Address
821 N Eutaw St Ste 201, Baltimore, MD, 21117-1820
Phone Number
410-225-9185
Fax Number
410-225-7964
Provider Enumeration Date
04/18/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
821 N Eutaw St Ste 201
City
State
Zip
21201-6301
Phone Number
410-225-9185
Fax Number
410-225-7964
person
Provider Business Mailing Address Details
Address
821 N Eutaw St Ste 201
City
State
Zip
21201-6301
Phone Number
410-225-9185
Fax Number
410-225-7964
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
ADT2363 (Maryland)
Definition
Definition to come...
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