PETER FULLER, LCSW, LADC

Social Worker - Clinical

Active Individual
NPI: 1659652022

Practice Address

474 MAIN ST
Springvale, ME 04083

Phone: (207) 324-1500

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X Yes LC4929 (ME)
Counselor - Addiction (Substance Use Disorder) 101YA0400X No LC4294 (ME)

Frequently Asked Questions

NPI 1659652022 is the National Provider Identifier for PETER FULLER, LCSW, LADC, a Social Worker - Clinical provider located in Springvale, ME. This NPI was enumerated on August 30, 2011.
PETER FULLER, LCSW, LADC practices at 474 MAIN ST, Springvale, ME 04083.

Quick Facts

NPI
1659652022
Type
Individual
Enumerated
Aug 30, 2011
Last Updated
Jun 22, 2016

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