K'CHELLE MARI FULLER SUD NPI 1770200511

NPI Information

  • NPI: 1770200511
  • Provider Name: K'CHELLE MARI FULLER, SUD
  • Classification: Day Training/Habilitation Specialist - 373H00000X
  • Entity Type: Individual
  • Address: 1249 SCOTT ST
    SAN FRANCISCO, CA
    ZIP 94115
  • Phone: (415) 922-9104

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NPI Details

K'chelle Mari Fuller, SUD is a day training habilitation specialist in San Francisco, CA. The provider is individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. K'chelle Mari Fuller, SUD NPI is 1770200511. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1249 SCOTT ST
SAN FRANCISCO, CA
ZIP 94115-008
Phone: (415) 922-9104

The enumeration date for this NPI number is 10/24/2022 and was last updated on 12/4/2025.

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
1101Y00000XCounselorNo
2373H00000XDay Training/Habilitation SpecialistYes
3101YA0400XCounselorAddiction (Substance Use Disorder)13722CALIFORNIANo
4172V00000XCommunity Health WorkerNo

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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