Michael Charles Fuller Jr.
Michael Charles Fuller Jr. is a Rehabilitation Practitioner in Beaumont, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2015
- Specialties on file
- 2
Practice location Address checks out
14763 Manzanita RdBeaumont, CA 92223-3026
Phone: (909) 433-9824
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 1076 Santo Antonio Dr, Colton, CA 92324-8103 — (909) 433-9824
Specialties & licences
| Rehabilitation Practitioner (primary) | Taxonomy 225400000X · Licence 17771 (CA) |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X · Licence 17771 (CA) |
Record details
| NPI number | 1083084115 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 1, 2015 |
| Last updated in NPPES | August 21, 2025 |
| Certification date | August 21, 2025 |
| Mailing address | 1076 Santo Antonio Dr, Colton, CA 92324-8103 |
Other providers in Beaumont
-
Amanda Louise Bell
14700 Manzanita Rd, Beaumont, CA 92223-3026 · (951) 845-3155