Individual
ABIGAIL DEANNE FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1801 PARK COURT PL BLDG H, SANTA ANA, CA 92701-5028
(714) 957-1004
Mailing address
1801 PARK COURT PL BLDG H, SANTA ANA, CA 92701-5028
(714) 957-1004
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
115814
CA
Other
Enumeration date
05/21/2020
Last updated
05/21/2020
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