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ANDREA FULLER MFT

>> Marriage & Family Therapist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1548381569

Individual Registrant:
 ANDREA  FULLER MFT
Gender: F
Sole Proprietor

Location and contact information for practice:
621 FOREST AVE  PACIFIC GROVE, CA 93950-4264 US
Tel: 831-236-5930  Fax: --

Contact information for business:
621 FOREST AVE  PACIFIC GROVE, CA 93950-4264 US
Tel: 831-236-5930  Fax: --

Registration Information:
NPI: 1548381569
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y106H00000XBehavioral Health & Social Service Providers
Marriage & Family Therapist
CAMFC30362

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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