TRACEY FULLER NPI 1851839336

NPI Information

NPI: 1851839336
Provider Name: TRACEY FULLER
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
1600 W CAMPBELL AVE
SUITE 201
CAMPBELL, CA
ZIP 95008
Phone: (408) 871-4900
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Tracey Fuller is a professional counselor in Campbell, CA. Tracey Fuller NPI is 1851839336. 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:

1600 W CAMPBELL AVE
SUITE 201
CAMPBELL, CA
ZIP 95008-526
Phone: (408) 871-4900

The enumeration date for this NPI number is 2/6/2017 and was last updated on 5/4/2017.

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	101YP2500X	Counselor	Professional		CALIFORNIA	Yes
2	171M00000X	Case Manager/Care Coordinator			CALIFORNIA	No

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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