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

Mr. Andy Leroy Fulton Jr., RAS

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1265864821

Mr. Andy Leroy Fulton Jr., RAS is an Addiction (Substance Use Disorder) Counselor in Santa Rosa, California. Licensed in California. Registered with an NPI since 2013.

Licensed in
CA
In the registry since
2013

Practice location Address checks out

1901 Cleveland Ave #B
Santa Rosa, CA 95401
Phone: (707) 576-0818
Fax: (707) 576-7845
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence F1101261615 (CA)

Record details

NPI number1265864821
Entity typeIndividual (Type 1)
GenderMale
Credentials RAS
Sole proprietorNo
NPI enumeratedAugust 6, 2013
Last updated in NPPESAugust 6, 2013

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