Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fullerton Counseling and Medical Group, Inc

Organization Mental Health Counselor · NPI 1821131673

Fullerton Counseling and Medical Group, Inc is a Mental Health Counselor in Fullerton, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2228 N State College Blvd
Fullerton, CA 92831-1361
Phone: (714) 990-0700
Fax: (714) 990-0142
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prescribing (Medical) Psychologist (primary) Taxonomy 103TP0016X · Licence C38832 (CA)
Mental Health Counselor Taxonomy 101YM0800X · Licence PSY6172 (CA)
Mental Health Counselor Taxonomy 101YM0800X · Licence PSY15282 (CA)
Marriage & Family Therapist Taxonomy 106H00000X · Licence ML012201 (CA)

Record details

NPI number1821131673
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Justine Petrie — President · (714) 990-0700
NPI enumeratedFebruary 14, 2007
Last updated in NPPESMarch 26, 2015
Mailing address2228 N State College Blvd, Fullerton, CA 92831-1361

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