CRISTAL E FULLER

MODESTO, CA
NPI1790651727
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2025-10-16
Last Update Date2025-10-16
Business Address
CRISTAL E FULLER
1235 MCHENRY AVE STE A
MODESTO, CA 95350-5370
Phone number: 209-527-4597
Mailing Address
CRISTAL E FULLER
656 HENRY LONG BLVD
STOCKTON, CA 95206-6501
Phone number: 209-242-1498