ALBERT FULLER

HAWTHORNE, CA
NPI1710830534
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2026-02-19
Last Update Date2026-02-19
Business Address
ALBERT FULLER
2501 W EL SEGUNDO BLVD
HAWTHORNE, CA 90250-3317
Phone number: 323-754-2816
Mailing Address
ALBERT FULLER
3745 S GRAND AVE
LOS ANGELES, CA 90007-4332
Phone number: 323-754-2816