JILLIAN FULLER
Counselor - Addiction (Substance Use Disorder)
Active
Individual
NPI: 1619657939
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | Yes | - |
Frequently Asked Questions
NPI 1619657939 is the National Provider Identifier for JILLIAN FULLER, a Counselor - Addiction (Substance Use Disorder) provider located in Coburg, OR. This NPI was enumerated on July 21, 2023.
JILLIAN FULLER practices at 1 SERENITY LN, Coburg, OR 97408.
Quick Facts
- NPI
- 1619657939
- Type
- Individual
- Enumerated
- Jul 21, 2023
- Last Updated
- Jan 5, 2024
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