IndividualActive
Allen Fuller
NPI 1073347076 · Addiction (Substance Use Disorder) Counselor · Largo, MD
Provider details
- NPI number
- 1073347076
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- AC1689 (MD)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
9500 Medical Center Dr Ste 104
Largo, MD 20774-3703
Phone: (240) 334-4394
Approximate (ZIP-level) locationGet directions
Mailing address
9500 Medical Center Dr Ste 104
Largo, MD 20774-3703
Registry dates
- Enumerated
- 2024-08-30
- Last updated
- 2024-08-30
- Certified
- 2024-08-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.