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JILLIAN JOAN FULLER
NPI 1619657939
Counselor - Addiction (Substance Use Disorder) in Coburg, OR

Active since July 21, 2023
1 SERENITY LN, COBURG, OR 97408(541) 284-5704 Get Directions Write a Review

NPPES record last updated: January 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 5, 2024, Jul 21, 2023 (2 updates tracked since 2023).

About Jillian Joan Fuller NPPES

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

JILLIAN JOAN FULLER (NPI 1619657939) is an individual addiction (substance use disorder) provider in Coburg, Oregon and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1619657939
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJILLIAN JOAN FULLER
Location Address1 SERENITY LNCoburg, OR 97408-9350
Mailing Address1 Serenity LnCoburg, OR 97408-9350
Phone(541) 284-5704
Sole ProprietorNo
Enumeration DateJuly 21, 2023
Last NPPES UpdateJanuary 5, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2024
✔ NPI 1619657939 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
1 SERENITY LN, Coburg, OR 97408
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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.

EMMITT ADAIR QMHP, CADC III, SAP
Counselor (Addiction (Substance Use Disorder))
1 SERENITY LN
COBURG, OR 97408
Lane County (541) 284-8605
MASON ANTHONY MARIN CADC-R, CRM 1
Counselor (Addiction (Substance Use Disorder))
1 SERENITY LN
COBURG, OR 97408
Lane County (541) 606-3308
JENAE HULSEY KATELYN HULSEY
Counselor (Addiction (Substance Use Disorder))
1 SERENITY LN
COBURG, OR 97408
Lane County (541) 687-1110
JACLYN BOGNER MS
Counselor (Mental Health)
1 SERENITY LN
COBURG, OR 97408
Lane County (541) 687-1110
SARAH ELIZABETH BUCK QMHA-R
Counselor (Mental Health)
1 SERENITY LN
COBURG, OR 97408
Lane County (541) 687-1110
HEATHERANN CHARLENE HELMS CADCR
Counselor (Addiction (Substance Use Disorder))
1 SERENITY LN
COBURG, OR 97408
Lane County (541) 513-6855
CHRISTOPHER BOWLING
Counselor (Addiction (Substance Use Disorder))
1 SERENITY LN
COBURG, OR 97408
Lane County (541) 687-1110
HANNAH KREEGER
Counselor (Addiction (Substance Use Disorder))
1 SERENITY LN
COBURG, OR 97408
Lane County (541) 687-1110

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 Jillian Fuller's NPI number?

The NPI number for Jillian Fuller is 1619657939. It was assigned to this individual provider in the NPPES registry on July 21, 2023.

Where is Jillian Fuller located?

Jillian Fuller practices at 1 Serenity Ln, Coburg, OR 97408. The listed phone number is (541) 284-5704.

What is Jillian 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 Jillian Fuller was last updated on January 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.