Judy L Fuller in Woodruff - Addiction (substance Use Disorder)

Judy L Fuller - NPI 1477635860

Judy L Fuller is a Addiction (substance Use Disorder) in Woodruff, Wisconsin. Judy L Fuller practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Judy L Fuller is 1477635860. The last update date is 2007-07-09.

Judy L Fuller's current location address is Po Box 470, Woodruff, Wisconsin. You can contact this provider via phone number 7153568000. The mailing address for Judy L Fuller is Po Box 470, Woodruff, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Judy L Fuller
Address Po Box 470, Woodruff, Wisconsin
Phone Number 7153568000
Fax Number
Sole Proprietor N
Credentials RADCI

NPI Number Detail

NPI Number 1477635860
Provider Enumeration Date 2006-10-19
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address Po Box 470
City Woodruff
State Wisconsin (WI)
Post Code 545680470
Phone Number 7153568000
Fax Number

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No 13950
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
42024600 WI --

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FAQs about Judy L Fuller

What is the Judy L Fuller's unique identification number?

The Judy L Fuller has been assigned the NPI (National Provider Identifier) Number 1477635860 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Can you provide the Judy L Fuller's physical address?

The Judy L Fuller is physically located at Po Box 470, in the city of Woodruff, WI, with the postal code 545680470.

What is Judy L Fuller's specialized field of practice, and what is the corresponding taxonomy classification code?

The Judy L Fuller's area of specialization is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this field of practice is 101Ya0400X.

On what date did the Centers for Medicare & Medicaid Services assign the 1477635860 to Judy L Fuller?

The Centers for Medicare & Medicaid Services assigned the 1477635860 to Judy L Fuller on 2006-10-19.

When was the information pertaining to Judy L Fuller most recently updated or revised?

The details related to Judy L Fuller, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-09.

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