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

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1306984778

Robert R Fulgham, SUDCCII is an Addiction (Substance Use Disorder) Counselor in San Andreas, California. Registered with an NPI since 2007.

In the registry since
2007
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Practice location Address checks out

590 Toyanza Dr
San Andreas, CA 95249-9713
Phone: (209) 754-6555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1306984778
Entity typeIndividual (Type 1)
GenderMale
Credentials SUDCCII
Sole proprietorNo
NPI enumeratedFebruary 1, 2007
Last updated in NPPESOctober 9, 2025
Certification dateOctober 9, 2025

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