Peter J. Fuller, LCSW, LADC
NPI #1659652022 in Springvale, Maine
Provider Information
- NPI Number
- 1659652022
- Entity Type
- Individual
- Name
- Peter J. Fuller, LCSW, LADC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW, LADC
- Enumeration Date
- Aug 30, 2011
- Last Updated
- Jun 22, 2016
Practice Location
- Address
- 474 MAIN ST
- City
- Springvale
- State
- Maine
- ZIP Code
- 04083-1409
- Phone
- (207) 324-1500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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