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

Cristal E Fuller

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1790651727

Cristal E Fuller is an Addiction (Substance Use Disorder) Counselor in Modesto, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025
Specialties on file
2

Practice location Address checks out

1235 McHenry Ave Ste A
Modesto, CA 95350-5370
Phone: (209) 527-4597
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 23057 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1790651727
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 16, 2025
Last updated in NPPESJune 9, 2026
Certification dateJune 9, 2026

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