person
Gary Michael Fuller, COUNSELORADDICTION
Addiction (Substance Use Disorder) Counselor in Fullerton, California
NPI 1336781103

Gary Michael Fuller is an Addiction (Substance Use Disorder) Counselor based in Fullerton, CA and is specialized in Addiction (Substance Use Disorder). Gary Michael Fuller practices in Fullerton, CA and has the professional credentials of COUNSELORADDICTION. The NPI Number for Gary Michael Fuller is 1336781103 and holds a License No. (California).

The current practice location address for Gary Michael Fuller is 771 W Orangethorpe Ave, Fullerton, CA and can be reached out via phone at 714-879-0929 and via fax at 714-578-2960.

Location: 771 W Orangethorpe Ave, Fullerton, CA, 92832-2806
person
Provider Profile Details
NPI Number
1336781103
Provider Name
Gary Michael Fuller
Credential
COUNSELORADDICTION
Provider Entity Type
Individual
Gender
Male
Address
771 W Orangethorpe Ave, Fullerton, CA, 92832-2806
Phone Number
714-879-0929
Fax Number
714-578-2960
Provider Enumeration Date
10/14/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
714-487-1683 01 CA MEDI-CAL
institution
Provider Business Practice Location Address Details
Address
771 W Orangethorpe Ave
City
State
Zip
92832-2806
Phone Number
714-879-0929
Fax Number
714-578-2960
person
Provider Business Mailing Address Details
Address
771 W Orangethorpe Ave
City
State
Zip
92832-2806
Phone Number
714-879-0929
Fax Number
714-578-2960
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
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Definition
Definition to come...
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