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

Shane Lundy Fuller

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1770357089

Shane Lundy Fuller is an Addiction (Substance Use Disorder) Counselor in Chesapeake, Ohio. Licensed in Ohio. Registered with an NPI since 2023.

Licensed in
OH
In the registry since
2023

Practice location Address checks out

517 3rd Ave
Chesapeake, OH 45619-1036
Phone: (740) 451-1455
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 CDCA.186291 (OH)

Record details

NPI number1770357089
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 8, 2023
Last updated in NPPESNovember 8, 2023
Certification dateNovember 7, 2023
Mailing address11374 County Road 1, Chesapeake, OH 45619-7126

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