CRISTAL E FULLER
NPI 1790651727
Counselor - Addiction (Substance Use Disorder) in Modesto, CA
Active since October 16, 2025
About Cristal E Fuller NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CRISTAL E FULLER (NPI 1790651727) is an individual addiction (substance use disorder) provider in Modesto, California, licensed in California (23057) and active in the NPI registry since October 2025.
NPPES Registry Identity
NPI1790651727
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameCRISTAL E FULLER
Location Address1235 MCHENRY AVE STE AModesto, CA 95350-5370
Mailing Address656 Henry Long BlvdStockton, CA 95206-6501 · (209) 242-1498
Phone(209) 527-4597
Sole ProprietorNo
Enumeration DateOctober 16, 2025
Last NPPES UpdateJune 9, 2026
NPPES CertifiedJune 9, 2026
✔ NPI 1790651727 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · 23057
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1235 MCHENRY AVE STE A, Modesto, CA 95350
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Addiction (Substance Use Disorder))
1235 MCHENRY AVE STE A
MODESTO, CA 95350
MODESTO, CA 95350
Counselor (Addiction (Substance Use Disorder))
1235 MCHENRY AVE STE A
MODESTO, CA 95350
MODESTO, CA 95350
Counselor (Addiction (Substance Use Disorder))
1235 MCHENRY AVE STE A
MODESTO, CA 95350
MODESTO, CA 95350
Counselor (Addiction (Substance Use Disorder))
1235 MCHENRY AVE STE A
MODESTO, CA 95350
MODESTO, CA 95350
Counselor (Addiction (Substance Use Disorder))
1235 MCHENRY AVE STE A
MODESTO, CA 95350
MODESTO, CA 95350
Counselor (Addiction (Substance Use Disorder))
1235 MCHENRY AVE STE A
MODESTO, CA 95350
MODESTO, CA 95350
Counselor (Addiction (Substance Use Disorder))
1235 MCHENRY AVE STE A
MODESTO, CA 95350
MODESTO, CA 95350
Counselor (Addiction (Substance Use Disorder))
1235 MCHENRY AVE STE A
MODESTO, CA 95350
MODESTO, CA 95350
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790651727, enumerated as an "individual" on October 16, 2025.
The provider is located at 1235 MCHENRY AVE STE A MODESTO, CA 95350 and the phone number is (209) 527-4597.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
