JUDY L FULLER RADCI
NPI 1477635860
Counselor - Addiction (Substance Use Disorder) in Woodruff, WI

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).

Active since October 19, 2006

240 MAPLE STREET, WOODRUFF, WI 54568(715) 356-8000 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Judy L Fuller Radci NPPES

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

JUDY L FULLER RADCI (NPI 1477635860) is an individual addiction (substance use disorder) provider in Woodruff, Wisconsin, licensed in Wisconsin (13950) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1477635860

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameJUDY L FULLERCredential: RADCI

Location Address240 MAPLE STREETWoodruff, WI 54568-0470

Mailing AddressPo Box 470Woodruff, WI 54568-0470 · (715) 356-8000

Phone(715) 356-8000

Sole ProprietorNo

Enumeration DateOctober 19, 2006

Last NPPES UpdateJuly 9, 2007

✔ NPI 1477635860 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 WI · 13950

240 MAPLE STREET, Woodruff, WI 54568

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Other Identifiers 1

Medicaid42024600WI

Other Providers at the Same Location NPPES 20

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

JAMES L HATCH MD

Radiology (Diagnostic Radiology)