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

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1336781103

Gary Michael Fuller, COUNSELORADDICTION is an Addiction (Substance Use Disorder) Counselor in Fullerton, California. Registered with an NPI since 2019.

In the registry since
2019
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Practice location Address checks out

771 W Orangethorpe Ave
Fullerton, CA 92832-2806
Phone: (714) 879-0929
Fax: (714) 578-2960
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1336781103
Entity typeIndividual (Type 1)
GenderMale
Credentials COUNSELORADDICTION
Sole proprietorNo
NPI enumeratedOctober 14, 2019
Last updated in NPPESOctober 14, 2019

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