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

Thomas Fuller, CDCA, PRS

Individual provider Peer Specialist · NPI 1447021621

Thomas Fuller, CDCA, PRS is a Peer Specialist in Mount Vernon, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2024
Specialties on file
2

Practice location Address checks out

408 Coshocton Ave
Mount Vernon, OH 43050-2634
Phone: (740) 326-9255
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.182930 (OH)
Peer Specialist Taxonomy 175T00000X · Licence APS.002446 (OH)

Record details

NPI number1447021621
Entity typeIndividual (Type 1)
GenderMale
Credentials CDCA , PRS
Sole proprietorYes
NPI enumeratedJanuary 16, 2024
Last updated in NPPESJanuary 16, 2024
Certification dateJanuary 16, 2024
Mailing address408 Coshocton Ave, Mount Vernon, OH 43050-2634

Other providers in Mount Vernon