Jacqueline R. Fuller
Jacqueline R. Fuller is an Addiction (Substance Use Disorder) Counselor in Pomona, California. Practices as a sole proprietor. Registered with an NPI since 2011.
- In the registry since
- 2011
Practice location Address checks out
160 E Holt AvePomona, CA 91767-5406
Phone: (909) 620-2521
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1285928523 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | June 3, 2011 |
| Last updated in NPPES | June 3, 2011 |
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