MR. EARLY R FULLER CADCIII
NPI 1518037613
Counselor - Addiction (Substance Use Disorder) in Green Bay, WI

Q: What is Early Fuller's NPI number?

The NPI number for Early Fuller is 1518037613. It was assigned to this individual provider in the NPPES registry on November 8, 2006.

Q: What is Early Fuller's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Early Fuller was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since November 08, 2006

2150 MEMORIAL DR STE 213, GREEN BAY, WI 54303(920) 498-3383(920) 498-3705 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 30, 2026.

On this page

About Mr. Early R Fuller Cadciii NPPES

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

MR. EARLY R FULLER CADCIII (NPI 1518037613) is an individual addiction (substance use disorder) provider in Green Bay, Wisconsin, licensed in Wisconsin (2418) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1518037613

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameMR. EARLY R FULLERCredential: CADCIII

Location Address2150 MEMORIAL DR STE 213Green Bay, WI 54303-6335

Mailing Address2150 Memorial Dr Ste 213Green Bay, WI 54303-6335 · (920) 498-3383 · Fax (920) 498-3705

Phone(920) 498-3383

Fax(920) 498-3705

Sole ProprietorNo

Enumeration DateNovember 8, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1518037613 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 · 2418

2150 MEMORIAL DR STE 213, Green Bay, WI 54303

Open in Google Maps ↗

Other Providers at the Same Location NPPES 3

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

SONG COUNSELING LLC

Clinic/Center (Mental Health (Including Community Mental Health Center))

2150 MEMORIAL DR STE 213
GREEN BAY, WI 54303

Brown County (920) 633-3515

MRS. MARCIA THOMPSON L.P.C.

Counselor (Mental Health)

2150 MEMORIAL DR STE 213
GREEN BAY, WI 54303

Brown County (920) 498-3383

CALIKAY VASHOU

Counselor (Mental Health)

2150 MEMORIAL DR STE 213
GREEN BAY, WI 54303

Brown County (920) 633-3515

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 Early Fuller's NPI number?

The NPI number for Early Fuller is 1518037613. It was assigned to this individual provider in the NPPES registry on November 8, 2006.

Where is Early Fuller located?

Early Fuller practices at 2150 Memorial Dr Ste 213, Green Bay, WI 54303. The listed phone number is (920) 498-3383.

What is Early 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 Early Fuller was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.