person
Thomas Fuller, CDCA,PRS
Addiction (Substance Use Disorder) Counselor in Mount Vernon, Ohio
NPI 1447021621

Thomas Fuller is an Addiction (Substance Use Disorder) Counselor based in Mount Vernon, OH and is specialized in Addiction (Substance Use Disorder). Thomas Fuller practices in Mount Vernon, OH and has the professional credentials of CDCA,PRS. The NPI Number for Thomas Fuller is 1447021621 and holds a License No. APS.002446 (Ohio).

The current practice location address for Thomas Fuller is 408 Coshocton Ave, Mount Vernon, OH and can be reached out via phone at 740-326-9255.

Location: 408 Coshocton Ave, Mount Vernon, OH, 43050-2634
person
Provider Profile Details
NPI Number
1447021621
Provider Name
Thomas Fuller
Credential
CDCA,PRS
Provider Entity Type
Individual
Gender
Male
Address
408 Coshocton Ave, Mount Vernon, OH, 43050-2634
Phone Number
740-326-9255
Fax Number
Provider Enumeration Date
01/16/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
408 Coshocton Ave
City
State
Zip
43050-2634
Phone Number
740-326-9255
Fax Number
person
Provider Business Mailing Address Details
Address
408 Coshocton Ave
City
State
Zip
43050-2634
Phone Number
740-326-9255
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CDCA.182930 (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
APS.002446 (Ohio)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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