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

K'Chelle Mari Fuller, SUD

Individual provider Counselor · NPI 1770200511

K'Chelle Mari Fuller, SUD is a Counselor in San Francisco, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2022
Specialties on file
4
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Practice location Address checks out

1249 Scott St
San Francisco, CA 94115-4008
Phone: (415) 922-9104
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Day Training/Habilitation Specialist (primary) Taxonomy 373H00000X
Counselor Taxonomy 101Y00000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 13722 (CA)
Community Health Worker Taxonomy 172V00000X

Record details

NPI number1770200511
Entity typeIndividual (Type 1)
GenderFemale
Credentials SUD
Sole proprietorYes
NPI enumeratedOctober 24, 2022
Last updated in NPPESDecember 4, 2025
Certification dateDecember 4, 2025

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