person
Mr. Andy Leroy Fulton JR., RAS
Addiction (Substance Use Disorder) Counselor in Santa Rosa, California
NPI 1265864821

Andy Leroy Fulton JR. is an Addiction (Substance Use Disorder) Counselor based in Santa Rosa, CA and is specialized in Addiction (Substance Use Disorder). Andy Leroy Fulton JR. practices in Santa Rosa, CA and has the professional credentials of RAS. The NPI Number for Andy Leroy Fulton JR. is 1265864821 and holds a License No. F1101261615 (California).

The current practice location address for Andy Leroy Fulton JR. is 1901 Cleveland Avenue, #B, Santa Rosa, CA and can be reached out via phone at 707-576-0818 and via fax at 707-576-7845.

Location: 1901 Cleveland Avenue, #B, Santa Rosa, CA, 95401
person
Provider Profile Details
NPI Number
1265864821
Provider Name
Andy Leroy Fulton JR.
Credential
RAS
Provider Entity Type
Individual
Gender
Male
Address
1901 Cleveland Avenue, #B, Santa Rosa, CA, 95401
Phone Number
707-576-0818
Fax Number
707-576-7845
Provider Enumeration Date
08/06/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1901 Cleveland Avenue, #B
City
State
Zip
95401
Phone Number
707-576-0818
Fax Number
707-576-7845
person
Provider Business Mailing Address Details
Address
1901 Cleveland Avenue, #B
City
State
Zip
95401
Phone Number
707-576-0818
Fax Number
707-576-7845
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
F1101261615 (California)
Definition
Definition to come...
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