CHAD CARL FULFORD NPI 1417553264

NPI Information

  • NPI: 1417553264
  • Provider Name: CHAD CARL FULFORD
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 2907 SAN MATEO BLVD NE
    ALBUQUERQUE, NM
    ZIP 87110
  • Phone: (505) 636-6100

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NPI Details

Chad Carl Fulford is an addiction (substance use disorder) counselor in Albuquerque, NM. Chad Carl Fulford NPI is 1417553264. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2907 SAN MATEO BLVD NE
ALBUQUERQUE, NM
ZIP 87110-156
Phone: (505) 636-6100

The enumeration date for this NPI number is 12/8/2020 and was last updated on 11/30/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)CSA0213151NEW MEXICOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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