NATHAN FULLER LPC014076 NPI 1841867595

NPI Information

NPI: 1841867595
Provider Name: NATHAN FULLER, LPC014076
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
224 HERSHELS WAY
CLARKESVILLE, GA
ZIP 30523
Phone: (912) 695-5020
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Nathan Fuller, LPC014076 is an addiction (substance use disorder) counselor in Clarkesville, GA. Nathan Fuller, LPC014076 NPI is 1841867595. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

224 HERSHELS WAY
CLARKESVILLE, GA
ZIP 30523-169
Phone: (912) 695-5020

The enumeration date for this NPI number is 6/9/2021 and was last updated on 4/2/2024.

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
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)			Yes

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: 4/28/2024

NPI Synchronization or Removal

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