MICHAEL FULLER

SAN DIEGO, CA
NPI1740906544
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  12374)
Enumeration Date2022-10-13
Last Update Date2022-10-13
Business Address
MICHAEL FULLER
2980 CEDAR ST
SAN DIEGO, CA 92102-1599
Phone number: 858-752-8538
Mailing Address
MICHAEL FULLER
2980 CEDAR ST
SAN DIEGO, CA 92102-1599
Phone number: 858-752-8538
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