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JACQUELINE L FULLER
NPI 1144917501
Counselor - Addiction (Substance Use Disorder) in Baltimore, MD

Active since April 18, 2023
821 N EUTAW ST STE 201, BALTIMORE, MD 21201(410) 225-9185(410) 225-7964 Get Directions Write a Review

NPPES record last updated: April 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacqueline L Fuller NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELINE L FULLER (NPI 1144917501) is an individual addiction (substance use disorder) provider in Baltimore, Maryland, licensed in Maryland (ADT2363) and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1144917501
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJACQUELINE L FULLER
Location Address821 N EUTAW ST STE 201Baltimore, MD 21201-6301
Mailing Address27 Timber Grove RdOwings Mills, MD 21117-1820 · (443) 965-8726
Phone(410) 225-9185
Fax(410) 225-7964
Sole ProprietorNo
Enumeration DateApril 18, 2023
NPPES CertifiedApril 18, 2023
✔ NPI 1144917501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in MD · ADT2363
821 N EUTAW ST STE 201, Baltimore, MD 21201
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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NINA MARIE ASHE
Specialist/Technologist (Athletic Trainer)
821 N EUTAW ST STE 201
BALTIMORE, MD 21201
Baltimore City (410) 225-9185
SHARELLE LAVERNE WHITE-MCKNIGHT
Counselor (Addiction (Substance Use Disorder))
821 N EUTAW ST STE 201
BALTIMORE, MD 21201
Baltimore City (443) 467-0288
CANDIA JOYETTE OLIVER
Specialist/Technologist (Athletic Trainer)
821 N EUTAW ST STE 201
BALTIMORE, MD 21201
Baltimore City (410) 225-7964
NATALE FIUMARA
Counselor (Addiction (Substance Use Disorder))
821 N EUTAW ST STE 201
BALTIMORE, MD 21201
Baltimore City (443) 676-0654
DEREK ANDRE LYDE I
Specialist/Technologist (Athletic Trainer)
821 N EUTAW ST STE 201
BALTIMORE, MD 21201
Baltimore City (410) 225-9185
ANTHONY J KOGER
Specialist/Technologist (Athletic Trainer)
821 N EUTAW ST STE 201
BALTIMORE, MD 21201
Baltimore City (410) 225-9885

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Fuller's NPI number?

The NPI number for Jacqueline Fuller is 1144917501. It was assigned to this individual provider in the NPPES registry on April 18, 2023.

Where is Jacqueline Fuller located?

Jacqueline Fuller practices at 821 N Eutaw St Ste 201, Baltimore, MD 21201. The listed phone number is (410) 225-9185.

What is Jacqueline Fuller's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jacqueline Fuller was last updated on April 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.