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CANDACE CARGILL-FULLER CADC II
NPI 1962879452
Counselor - Addiction (Substance Use Disorder) in San Pedro, CA

Active since August 31, 2015
590 W 8TH ST, SAN PEDRO, CA 90731(310) 704-1336(562) 599-6134 Get Directions Write a Review

NPPES record last updated: August 31, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Candace Cargill-fuller Cadc Ii NPPES

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

CANDACE CARGILL-FULLER CADC II (NPI 1962879452) is an individual addiction (substance use disorder) provider in San Pedro, California and active in the NPI registry since August 2015.

NPPES Registry Identity

NPI1962879452
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameCANDACE CARGILL-FULLERCredential: CADC II
Location Address590 W 8TH STSan Pedro, CA 90731-3120
Mailing Address590 W 8th StSan Pedro, CA 90731-3120 · (310) 704-1336 · Fax (562) 599-6134
Phone(310) 704-1336
Fax(562) 599-6134
Sole ProprietorNo
Enumeration DateAugust 31, 2015
✔ NPI 1962879452 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
590 W 8TH ST, San Pedro, CA 90731
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Other Providers at the Same Location NPPES 6

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

ERICA ALEJANDRA FIGUEROA MA
Counselor (Professional)
590 W 8TH ST
SAN PEDRO, CA 90731
Los Angeles County (310) 831-2358
ALFRED ALEX DEVIN
Counselor (Addiction (Substance Use Disorder))
590 W 8TH ST
SAN PEDRO, CA 90731
Los Angeles County (310) 831-2358
STEPHANIE BONILLA
Counselor (Addiction (Substance Use Disorder))
590 W 8TH ST
SAN PEDRO, CA 90731
Los Angeles County (310) 831-2358
TERESA BONILLA SUPPORT SPECIALIST
Peer Specialist
590 W 8TH ST
SAN PEDRO, CA 90731
Los Angeles County (310) 831-2358
BEHAVIORAL HEALTH SERVICES, INC.
Community/Behavioral Health
590 W 8TH ST
SAN PEDRO, CA 90731
Los Angeles County (310) 831-2358
BEHAVIORAL HEALTH SERVICES
Case Management
590 W 8TH ST
SAN PEDRO, CA 90731
Los Angeles County (310) 831-2358

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 Candace Cargill-fuller's NPI number?

The NPI number for Candace Cargill-fuller is 1962879452. It was assigned to this individual provider in the NPPES registry on August 31, 2015.

Where is Candace Cargill-fuller located?

Candace Cargill-fuller practices at 590 W 8th St, San Pedro, CA 90731. The listed phone number is (310) 704-1336.

What is Candace Cargill-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 Candace Cargill-fuller was last updated on August 31, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.