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Individual
JOSEPH FULLEN
Active
Individual
JOSEPH FULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ACDP, ICADC, LMHC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDP00201
RI
101YM0800X
Mental Health Counselor
Primary
MHC00788
RI
Other
Enumeration date
03/05/2010
Last updated
05/03/2025
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