Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. EARLY R FULLER, CADCIII
ActiveMR. EARLY R FULLER, CADCIII is a Addiction (Substance Use Disorder) Counselor healthcare provider located in GREEN BAY, Wisconsin. NPI 1518037613 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · GREEN BAY, WI
Registration Details
- NPI Number
- 1518037613
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 8, 2006 (19.576349306123 yrs)
- Last Updated
- Jul 8, 2007
- License
-
2418 (WI)
Practice Information
- Address
-
2150 MEMORIAL DR STE 213GREEN BAY, WI, 543036335Browse WI providers · Browse ZIP 54303
- Phone
- 9204983383
- Fax
- 9204983705
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in GREEN BAY, WI
| Name | Credential | NPI |
|---|---|---|
| MR. SCOTT D LALONDE | CSAC | 1073503546 |
| DALE S RASMUSSEN | BSW CSAC | 1609867761 |
| JEANETTE PIEPER | BSW, CSAC | 1821089988 |
| MR. THOMAS L THOUNE | CSAC | 1790776565 |
| SHAWN THORNTON BLAKLEY | MSE, CADCIII | 1417022468 |
| MS. MARYA B LIECHTI | MSE,LPC,NCC,MAC,CADC | 1801963202 |
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.