PAUL R FULLER

ALISO VIEJO, CA
NPI1144326786
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  CATC-III 960047)
Enumeration Date2006-09-14
Last Update Date2015-06-26
Business Address
Mr. PAUL R FULLER
5 MAREBLU STE 259
ALISO VIEJO, CA 92656-3014
Phone number: 949-643-6930
Mailing Address
Mr. PAUL R FULLER
5 MAREBLU SUITE 259
ALISO VIEJO, CA 92656-3014
Phone number:
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