Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ANDY LEROY FULTON JR., RAS
ActiveMR. ANDY LEROY FULTON JR., RAS is a Addiction (Substance Use Disorder) Counselor healthcare provider located in SANTA ROSA, California. NPI 1265864821 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · SANTA ROSA, CA
Registration Details
- NPI Number
- 1265864821
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 6, 2013 (12.835400733549 yrs)
- Last Updated
- Aug 6, 2013
- License
-
F1101261615 (CA)
Practice Information
- Address
-
1901 CLEVELAND AVENUE, #BSANTA ROSA, CA, 95401Browse CA providers · Browse ZIP 95401
- Phone
- 7075760818
- Fax
- 7075767845
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in SANTA ROSA, CA
| Name | Credential | NPI |
|---|---|---|
| DEBORAH JAY POPE | — | 1669528592 |
| TOM JOHN NEWELL | — | 1942356001 |
| MICHAEL E. WALSH | — | 1639210982 |
| MITCH HOLCOMB | — | 1225161961 |
| DENISE CEINAR | — | 1649303280 |
| KAREN BERNARD-FLORES | — | 1710010350 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.