person
Jacqueline R. Fuller
Addiction (Substance Use Disorder) Counselor in Pomona, California
NPI 1285928523

Jacqueline R. Fuller is an Addiction (Substance Use Disorder) Counselor based in San Dimas, CA and is specialized in Addiction (Substance Use Disorder). Jacqueline R. Fuller practices in Pomona, CA. The NPI Number for Jacqueline R. Fuller is 1285928523 and holds a License No. (California).

The current practice location address for Jacqueline R. Fuller is 160 E Holt Ave, Pomona, CA and can be reached out via phone at 909-620-2521.

Location: 160 E Holt Ave, Pomona, CA, 91773-3015
person
Provider Profile Details
NPI Number
1285928523
Provider Name
Jacqueline R. Fuller
Credential
Provider Entity Type
Individual
Gender
Female
Address
160 E Holt Ave, Pomona, CA, 91773-3015
Phone Number
909-620-2521
Fax Number
Provider Enumeration Date
06/03/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
160 E Holt Ave
City
State
Zip
91767-5406
Phone Number
909-620-2521
Fax Number
person
Provider Business Mailing Address Details
Address
160 E Holt Ave
City
State
Zip
91767-5406
Phone Number
909-620-2521
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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