SHANTEL AZURE FULLER

GRESHAM, OR
NPI1629240288
Former NameSHANTEL AZURE STONE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2008-03-24
Last Update Date2008-03-24
Business Address
-- SHANTEL AZURE FULLER
400 NE 7TH ST
GRESHAM, OR 97030-5604
Phone number: 503-661-5455
Mailing Address
-- SHANTEL AZURE FULLER
10625 SE 362ND AVE UNIT C8
BORING, OR 97009-9746
Phone number: 503-313-6641
Similar providers in Gresham, OR
MIKAYLA QUACKENBUSH
DAVID LESLIE VANDIEST
ROBERT STANLEY DOBRES
ERIN PETTY
MARCELLA LEE
KATHRYN MAE NUNLEY
CLAIRE TOLLES
TIMOTHY GAZDZIAK
PETER GLENN KATON
MARY KATHLEEN BOWER