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MR. JEFFREY FULLER CADC
NPI 1679013296
Counselor - Addiction (Substance Use Disorder) in Bangor, ME

Active since March 01, 2017
98 CUMBERLAND ST, BANGOR, ME 04401(207) 941-1600(207) 941-1608 Get Directions Write a Review

NPPES record last updated: March 1, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Jeffrey Fuller Cadc NPPES

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

MR. JEFFREY FULLER CADC (NPI 1679013296) is an individual addiction (substance use disorder) provider in Bangor, Maine, licensed in Maine (CAC6232) and active in the NPI registry since March 2017.

NPPES Registry Identity

NPI1679013296
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. JEFFREY FULLERCredential: CADC
Location Address98 CUMBERLAND STBangor, ME 04401-5234
Mailing Address98 Cumberland StBangor, ME 04401-5234 · (207) 941-1600 · Fax (207) 941-1608
Phone(207) 941-1600
Fax(207) 941-1608
Sole ProprietorNo
Enumeration DateMarch 1, 2017
✔ NPI 1679013296 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 ME · CAC6232
98 CUMBERLAND ST, Bangor, ME 04401
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Other Providers at the Same Location NPPES 5

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

BRENT AUSTIN CADC
Counselor (Addiction (Substance Use Disorder))
98 CUMBERLAND ST
BANGOR, ME 04401
Penobscot County (207) 941-1612
LAWRENCE CHARLES GENDREAU LADC
Counselor (Addiction (Substance Use Disorder))
98 CUMBERLAND ST
BANGOR, ME 04401
Penobscot County (207) 941-1600
WELLSPRING, INC.
Substance Abuse Rehabilitation Facility
98 CUMBERLAND ST
BANGOR, ME 04401
Penobscot County (207) 947-1600
MRS. HANNAH GILLAN BOUDREAU MHRT-C, CADC
Counselor (Addiction (Substance Use Disorder))
98 CUMBERLAND ST
BANGOR, ME 04401
Penobscot County (207) 404-1612
ZACHARY S LEVESQUE CADC
Counselor (Addiction (Substance Use Disorder))
98 CUMBERLAND ST
BANGOR, ME 04401
Penobscot County (207) 941-1600

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 Jeffrey Fuller's NPI number?

The NPI number for Jeffrey Fuller is 1679013296. It was assigned to this individual provider in the NPPES registry on March 1, 2017.

Where is Jeffrey Fuller located?

Jeffrey Fuller practices at 98 Cumberland St, Bangor, ME 04401. The listed phone number is (207) 941-1600.

What is Jeffrey 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 Jeffrey Fuller was last updated on March 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.