Individual
CAITLIN E FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3765 S HIGUERA ST, SUITE 100, SAN LUIS OBISPO, CA 93401-1570
(805) 781-3535
Mailing address
7945 PHLOX ST., DOWNEY, CA 90241
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/10/2013
Last updated
07/09/2015
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