Jillian Joan Fuller
Jillian Joan Fuller is an Addiction (Substance Use Disorder) Counselor in Coburg, Oregon. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
1 Serenity LnCoburg, OR 97408-9350
Phone: (541) 284-5704
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1619657939 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 21, 2023 |
| Last updated in NPPES | January 5, 2024 |
| Certification date | January 5, 2024 |
| Mailing address | 1 Serenity Ln, Coburg, OR 97408-9350 |
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