Shane Fuller
NPI #1497112114 in Wilton, California
Provider Information
- NPI Number
- 1497112114
- Entity Type
- Individual
- Name
- Shane Fuller
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Jan 26, 2016
- Last Updated
- Jan 26, 2016
Practice Location
- Address
- 11255 MANN RD
- City
- Wilton
- State
- California
- ZIP Code
- 95693-9712
- Phone
- (916) 606-0027
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
Similar Providers
Individual Providers
| Provider Name | |
|---|---|
| DR. Shelley D Wise, D.C. | |
| Darrell T Lind, PA-C, MS, MPH | |
| MS. Terri David, MS.MFT. | |
| DR. Richard Victor Guzzetta, MD |
Organizations
| Provider Name | |
|---|---|
| Reseda Substance Abuse Treatment Center |
Want to research this healthcare provider further?