- Practice location
- 470 Forest Ave, Suite 202, Portland, ME 04101
- Phone
- 207-774-3570
- Fax
- 207-774-3540
- Last updated
- December 30, 2011
Joann Fuller is a Counselor, Mental Health based in Portland, ME. Joann Fuller practices in Portland, ME. The NPI Number for Joann Fuller is 1275803702 and holds a License No. XL3862 (ME). The current practice location address for Joann Fuller is 470 Forest Ave, Suite 202, Portland, ME 04101 and can be reached out via phone at 207-774-3570 and via fax at 207-774-3540.
Provider Profile Details
- NPI Number
- 1275803702
- Provider Name
- Joann Fuller
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 470 Forest Ave, Suite 202, Portland, ME 04101
- Phone Number
- 207-774-3570
- Fax Number
- 207-774-3540
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- December 30, 2011
- Last Update Date
- December 30, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 470 Forest Ave
Suite 202
Portland, ME 04101 - City
- Portland
- State
- Maine
- Zip
- 04101
- Phone Number
- 207-774-3570
- Fax Number
- 207-774-3540
Provider Business Mailing Address Details
- Address
- 179 Pepperrell RD
Kittery Point, ME 03905-5114 - City
- Kittery Point
- State
- ME
- Zip
- 03905-5114
- Phone Number
- 207-439-9160
License Information
- License Number
- XL3862
- License State
- ME
- Taxonomy
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ms. Joann Fuller?
The NPI number of Ms. Joann Fuller is 1275803702. It was assigned on December 30, 2011 and is currently active in the NPPES registry.
What is the specialty of Ms. Joann Fuller?
Ms. Joann Fuller is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in ME under license number XL3862.
Where does Ms. Joann Fuller practice?
The practice location is 470 Forest Ave, Suite 202, Portland, ME 04101. The office can be reached at 207-774-3570 (phone) or 207-774-3540 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1275803702 directly on the NPPES registry website.