EMMETT JUSTIN HULL CADCII
NPI 1619793957
Counselor - Addiction (Substance Use Disorder) in Fontana, CA
Active since December 03, 2024
About Emmett Justin Hull Cadcii NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EMMETT JUSTIN HULL CADCII (NPI 1619793957) is an individual addiction (substance use disorder) provider in Fontana, California and active in the NPI registry since December 2024.
NPPES Registry Identity
NPI1619793957
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameEMMETT JUSTIN HULLCredential: CADCII
Location Address14677 MERRILL AVEFontana, CA 92335-4219
Mailing Address14677 Merrill AveFontana, CA 92335-4219 · (951) 643-2340
Phone(951) 643-2340
Sole ProprietorYes
Enumeration DateDecember 3, 2024
NPPES CertifiedDecember 3, 2024
✔ NPI 1619793957 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
14677 MERRILL AVE, Fontana, CA 92335
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1619793957, enumerated as an "individual" on December 03, 2024.
The provider is located at 14677 MERRILL AVE FONTANA, CA 92335 and the phone number is (951) 643-2340.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).