person
Mr. Early R Fuller, CADCIII
Addiction (Substance Use Disorder) Counselor in Green Bay, Wisconsin
NPI 1518037613

Early R Fuller is an Addiction (Substance Use Disorder) Counselor based in Green Bay, WI and is specialized in Addiction (Substance Use Disorder). Early R Fuller practices in Green Bay, WI and has the professional credentials of CADCIII. The NPI Number for Early R Fuller is 1518037613 and holds a License No. 2418 (Wisconsin).

The current practice location address for Early R Fuller is 2150 Memorial Dr Ste 213, Green Bay, WI and can be reached out via phone at 920-498-3383 and via fax at 920-498-3705.

Location: 2150 Memorial Dr Ste 213, Green Bay, WI, 54303-6335
person
Provider Profile Details
NPI Number
1518037613
Provider Name
Early R Fuller
Credential
CADCIII
Provider Entity Type
Individual
Gender
Male
Address
2150 Memorial Dr Ste 213, Green Bay, WI, 54303-6335
Phone Number
920-498-3383
Fax Number
920-498-3705
Provider Enumeration Date
11/08/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2150 Memorial Dr Ste 213
City
State
Zip
54303-6335
Phone Number
920-498-3383
Fax Number
920-498-3705
person
Provider Business Mailing Address Details
Address
2150 Memorial Dr Ste 213
City
State
Zip
54303-6335
Phone Number
920-498-3383
Fax Number
920-498-3705
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
2418 (Wisconsin)
Definition
Definition to come...
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