Jacqueline L Fuller
Jacqueline L Fuller is an Addiction (Substance Use Disorder) Counselor in Baltimore, Maryland. Licensed in Maryland. Registered with an NPI since 2023.
- Licensed in
- MD
- In the registry since
- 2023
Practice location Address checks out
821 N Eutaw St Ste 201Baltimore, MD 21201-6301
Phone: (410) 225-9185
Fax: (410) 225-7964
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence ADT2363 (MD) |
|---|
Record details
| NPI number | 1144917501 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 18, 2023 |
| Last updated in NPPES | April 18, 2023 |
| Certification date | April 18, 2023 |
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