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ANDREA FULLER MFT
>> Marriage & Family Therapist >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1548381569
Individual Registrant: ANDREA FULLER MFT
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
621 FOREST AVE PACIFIC GROVE, CA 93950-4264 US
Tel: 831-236-5930 Fax: --
Tel: 831-236-5930 Fax: --
Contact information for business:
621 FOREST AVE PACIFIC GROVE, CA 93950-4264 US
Tel: 831-236-5930 Fax: --
Tel: 831-236-5930 Fax: --
Registration Information:
NPI: 1548381569
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 106H00000X | Behavioral Health & Social Service Providers Marriage & Family Therapist | CA | MFC30362 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
