National Provider Identifier
Gary Michael Fuller, COUNSELOR ADDICTION
Gary Michael Fuller, COUNSELOR ADDICTION is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Fullerton, CA and a listed phone number of (714) 879-0929.
Source: public NPPES record, last updated October 14, 2019. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1336781103
- Provider Type
- Individual
- Primary Specialty
- Addiction (Substance Use Disorder) Counselor
- Enumeration Date
- October 14, 2019
- Last Updated
- October 14, 2019
Practice Location
- 771 W Orangethorpe Ave
- Fullerton, CA 92832-2806
Phone: (714) 879-0929
Specialties
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
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Biography
Gary Michael Fuller is a Fullerton, California-based addiction counselor. His official public registry record links his practice listing with Woodglen Recovery Junction Inc., but stronger public details such as training, faculty roles, board certification, or research activity were not available from reliable sources.
Full Record
- NPI
- 1336781103
- Entity Type
- Individual
- Last Name
- Fuller
- First Name
- Gary
- Middle Name
- Michael
- Credential
- COUNSELOR ADDICTION
- Mailing Street Address
- 771 W Orangethorpe Ave
- Mailing City
- Fullerton
- Mailing State
- CA
- Mailing ZIP Code
- 92832-2806
- Mailing Country
- US
- Mailing Phone
- (714) 879-0929
- Mailing Fax
- (714) 578-2960
- Practice Street Address
- 771 W Orangethorpe Ave
- Practice City
- Fullerton
- Practice State
- CA
- Practice ZIP Code
- 92832-2806
- Practice Country
- US
- Practice Phone
- (714) 879-0929
- Practice Fax
- (714) 578-2960
- Enumeration Date
- October 14, 2019
- Last Updated
- October 14, 2019
- Sex
- Male
- Sole Proprietor
- No
- Taxonomies
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
- Other Identifiers
- 714-487-1683 (CA, Medi-Cal)