person
Tiffany I Fuller, SUDRC
Addiction (Substance Use Disorder) Counselor in Hayward, California
NPI 1831743970

Tiffany I Fuller is an Addiction (Substance Use Disorder) Counselor based in San Leandro, CA and is specialized in Addiction (Substance Use Disorder). Tiffany I Fuller practices in Hayward, CA and has the professional credentials of SUDRC. The NPI Number for Tiffany I Fuller is 1831743970 and holds a License No. 8042 (California).

The current practice location address for Tiffany I Fuller is 682 Briergate Way, Hayward, CA and can be reached out via phone at 510-487-2910.

Location: 682 Briergate Way, Hayward, CA, 94578-4816
person
Provider Profile Details
NPI Number
1831743970
Provider Name
Tiffany I Fuller
Credential
SUDRC
Provider Entity Type
Individual
Gender
Female
Address
682 Briergate Way, Hayward, CA, 94578-4816
Phone Number
510-487-2910
Fax Number
Provider Enumeration Date
07/26/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8042 01 CA CADTP
8042 01 CA 1-IND
institution
Provider Business Practice Location Address Details
Address
682 Briergate Way
City
State
Zip
94544-7245
Phone Number
510-487-2910
Fax Number
person
Provider Business Mailing Address Details
Address
682 Briergate Way
City
State
Zip
94544-7245
Phone Number
510-487-2910
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
8042 (California)
Definition
Definition to come...
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