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Organization
REBECCA FULLER AND ASSOCIATES
Active
Organization
REBECCA FULLER AND ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA S FULLER MA, LPC (OWNER)
(541) 579-8644
Entity
Organization
Contact information
Practice address
1901 GARDEN AVE STE 213, EUGENE, OR 97403-1934
(541) 579-8644
(541) 855-0130
Mailing address
1945 HARVEY RD, COTTAGE GROVE, OR 97424-1286
(503) 803-4867
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
02/26/2020
Last updated
03/28/2024
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