person
Jillian Joan Fuller
Addiction (Substance Use Disorder) Counselor in Coburg, Oregon
NPI 1619657939

Jillian Joan Fuller is an Addiction (Substance Use Disorder) Counselor based in Coburg, OR and is specialized in Addiction (Substance Use Disorder). Jillian Joan Fuller practices in Coburg, OR. The NPI Number for Jillian Joan Fuller is 1619657939 and holds a License No. (Oregon).

The current practice location address for Jillian Joan Fuller is 1 Serenity Ln, Coburg, OR and can be reached out via phone at 541-284-5704.

Location: 1 Serenity Ln, Coburg, OR, 97408-9350
person
Provider Profile Details
NPI Number
1619657939
Provider Name
Jillian Joan Fuller
Credential
Provider Entity Type
Individual
Gender
Female
Address
1 Serenity Ln, Coburg, OR, 97408-9350
Phone Number
541-284-5704
Fax Number
Provider Enumeration Date
07/21/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1 Serenity Ln
City
State
Zip
97408-9350
Phone Number
541-284-5704
Fax Number
person
Provider Business Mailing Address Details
Address
1 Serenity Ln
City
State
Zip
97408-9350
Phone Number
541-284-5704
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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