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Jennifer Ann Fuller
Mental Health Counselor in Long Beach, California
NPI 1386305928

Jennifer Ann Fuller is a Mental Health Counselor based in Long Beach, CA and is specialized in Mental Health. Jennifer Ann Fuller practices in Long Beach, CA. The NPI Number for Jennifer Ann Fuller is 1386305928 and holds a License No. 112365 (California).

The current practice location address for Jennifer Ann Fuller is 1301 Pine Ave, Long Beach, CA and can be reached out via phone at 562-595-1159.

Location: 1301 Pine Ave, Long Beach, CA, 90814-2870
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386305928
Provider Name
Jennifer Ann Fuller
Credential
Provider Entity Type
Individual
Gender
Female
Address
1301 Pine Ave, Long Beach, CA, 90814-2870
Phone Number
562-595-1159
Fax Number
Provider Enumeration Date
01/05/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1301 Pine Ave
City
Long Beach
State
California
Zip
90813-3124
Phone Number
562-595-1159
Fax Number
person
Provider Business Mailing Address Details
Address
1301 Pine Ave
City
Long Beach
State
California
Zip
90813-3124
Phone Number
562-595-1159
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
112365 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
()
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
person
Provider's Taxonomy Details 3
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Practitioner
Speciality
-
Taxonomy
225400000X
License No.
112365 (California)
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
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