Jennifer Ann Fuller
Jennifer Ann Fuller is a Clinical Social Worker in Long Beach, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2022
- Specialties on file
- 3
Practice location Address checks out
1301 Pine AveLong Beach, CA 90813-3124
Phone: (562) 595-1159
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence 112365 (CA) |
|---|---|
| Clinical Social Worker | Taxonomy 1041C0700X · Licence 112365 (CA) |
| Rehabilitation Practitioner | Taxonomy 225400000X |
Record details
| NPI number | 1386305928 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 5, 2022 |
| Last updated in NPPES | June 29, 2023 |
| Certification date | June 29, 2023 |
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Vanessa Gallardo
1301 Pine Ave, Long Beach, CA 90813-3124 · (562) 595-1159
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