MR. KENNETH LEON FULLER JR.
NPI 1851816755
Counselor - Mental Health in Yuba City, CA
Active since August 11, 2017
About Mr. Kenneth Leon Fuller Jr. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. KENNETH LEON FULLER JR. (NPI 1851816755) is an individual mental health provider in Yuba City, California and active in the NPI registry since August 2017.
NPPES Registry Identity
NPI1851816755
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. KENNETH LEON FULLER JR.
Location Address1965 LIVE OAK BLVDYuba City, CA 95991-8850
Mailing Address1965 Live Oak BlvdYuba City, CA 95991-8850 · (530) 822-7200
Phone(530) 822-7200
Sole ProprietorNo
Enumeration DateAugust 11, 2017
Last NPPES UpdateJanuary 22, 2018
✔ NPI 1851816755 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCounselorTaxonomy 101Y00000X
1965 LIVE OAK BLVD, Yuba City, CA 95991
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.
Counselor (Addiction (Substance Use Disorder))
1965 LIVE OAK BLVD
YUBA CITY, CA 95991
YUBA CITY, CA 95991
Licensed Psychiatric Technician
1965 LIVE OAK BLVD
YUBA CITY, CA 95991
YUBA CITY, CA 95991
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1851816755, enumerated as an "individual" on August 11, 2017.
The provider is located at 1965 LIVE OAK BLVD YUBA CITY, CA 95991 and the phone number is (530) 822-7200.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
