Individual
CHERYL E FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
STATE OF OHIO LCDCII
Contact information
Practice address
6570 SOSNA DR, FAIRFIELD, OH 45014-2222
(513) 942-4673
(513) 860-1439
Mailing address
100 CROWNE POINT PL, CINCINNATI, OH 45241-5427
(513) 743-7628
(513) 737-1107
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
031011
OH
Other
Enumeration date
07/09/2019
Last updated
10/30/2023
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