person
Shane Lundy Fuller
Addiction (Substance Use Disorder) Counselor in Chesapeake, Ohio
NPI 1770357089

Shane Lundy Fuller is an Addiction (Substance Use Disorder) Counselor based in Chesapeake, OH and is specialized in Addiction (Substance Use Disorder). Shane Lundy Fuller practices in Chesapeake, OH. The NPI Number for Shane Lundy Fuller is 1770357089 and holds a License No. CDCA.186291 (Ohio).

The current practice location address for Shane Lundy Fuller is 517 3Rd Ave, Chesapeake, OH and can be reached out via phone at 740-451-1455.

Location: 517 3Rd Ave, Chesapeake, OH, 45619-7126
person
Provider Profile Details
NPI Number
1770357089
Provider Name
Shane Lundy Fuller
Credential
Provider Entity Type
Individual
Gender
Male
Address
517 3Rd Ave, Chesapeake, OH, 45619-7126
Phone Number
740-451-1455
Fax Number
Provider Enumeration Date
11/08/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
517 3Rd Ave
City
State
Zip
45619-1036
Phone Number
740-451-1455
Fax Number
person
Provider Business Mailing Address Details
Address
517 3Rd Ave
City
State
Zip
45619-1036
Phone Number
740-451-1455
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.186291 (Ohio)
Definition
Definition to come...
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