SHANTEL FULLER
Counselor - Addiction (Substance Use Disorder)
Active
Individual
NPI: 1629240288
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | Yes | - |
Frequently Asked Questions
NPI 1629240288 is the National Provider Identifier for SHANTEL FULLER, a Counselor - Addiction (Substance Use Disorder) provider located in Gresham, OR. This NPI was enumerated on March 24, 2008.
SHANTEL FULLER practices at 400 NE 7TH ST, Gresham, OR 97030.
Quick Facts
- NPI
- 1629240288
- Type
- Individual
- Enumerated
- Mar 24, 2008
- Last Updated
- Mar 24, 2008
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