| NPI Details | |
|---|---|
| NPI | 1780619585 |
| Gender | Female |
| Enumeration Date | 07/11/2006 |
| Last Updated | 07/08/2007 |
| Entity Type | Individual |
| Active | Over 10 years ago |
| Practice Location | |
|---|---|
| 4555 EL CAMINO REAL STE G ATASCADERO CA, 93422-2700, US |
|
| Phone | (805) 235-3691 |
| Fax | (805) 461-0620 |
| Business Location | |
|---|---|
| PO BOX 1492 ATASCADERO CA, 93423-1492, US |
|
| Phone | (805) 235-3691 |
| Fax | (805) 461-0620 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 106H00000X |
| License State | California |
| License Number | MFC39582 |
| Remove 1780619585 NPI Number | |
According to our database, Stephanie Fuller LMFT NPI is 1780619585, taxonomy code is 106H00000X and license number is MFC39582, license state is located at California. Stephanie Fuller LMFT physically located at 4555 El Camino Real Ste G, Atascadero CA, 93422-2700. NPI Number Stephanie Fuller LMFT has the Individual type.
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1780619585 NPI number is provided on an as is basis without warranty of any kind. 1780619585 is maintained by the National Plan & Provider Enumeration System. The contents of Stephanie Fuller LMFT are for informational purposes only.
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