JEFFREY FULLER

BANGOR, ME
NPI1679013296
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ME  CAC6232)
Enumeration Date2017-03-01
Last Update Date2017-03-01
Business Address
Mr. JEFFREY FULLER CADC
98 CUMBERLAND ST
BANGOR, ME 04401-5234
Phone number: 207-941-1600
Mailing Address
Mr. JEFFREY FULLER CADC
98 CUMBERLAND ST
BANGOR, ME 04401-5234
Phone number: 207-941-1600
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