Shantel Azure Fuller
Shantel Azure Fuller is an Addiction (Substance Use Disorder) Counselor in Gresham, Oregon. Practices as a sole proprietor. Registered with an NPI since 2008.
- In the registry since
- 2008
Practice location Address checks out
400 NE 7th StGresham, OR 97030-5604
Phone: (503) 661-5455
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1629240288 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 24, 2008 |
| Last updated in NPPES | March 24, 2008 |
| Mailing address | 10625 Se 362nd Ave Unit C8, Boring, OR 97009-9746 |
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