Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JEFFREY FULLER, CADC

Active

Addiction (Substance Use Disorder) Counselor · BANGOR, ME

Registration Details

NPI Number: 1679013296
Provider Type: Individual
Gender: Male
NPI Issued: Mar 1, 2017 (9.1605749067314 yrs)
Last Updated: Mar 1, 2017
License: CAC6232 (ME)

Practice Information

Address: 98 CUMBERLAND ST

BANGOR, ME, 044015234
Browse ME providers · Browse ZIP 04401
Phone: 2079411600
Fax: 2079411608
Primary Specialty: Addiction (Substance Use Disorder) Counselor
101YA0400X

Other Addiction (Substance Use Disorder) Counselor Providers in BANGOR, ME

Name	Credential	NPI
MR. RICHARD A NOONAN	ACSW, LCSW, LADC,MAC	1912946179
MAUREEN A SYLVAIN	LSW CADC	1750475521
MS. TONA LYNN EVANS	LADC-CCS	1912027558
MR. HARRY ELI BARRON	CADC	1043404544
MS. AIMEE MICHELLE CYR	LADC	1699962258
STEPHANIE E BRIDGES	RNC LADC LMT	1952577827

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.