Individual
MR. NORMAN FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SUDP
Contact information
Practice address
3629 S D ST, TACOMA, WA 98418-6813
(253) 649-1500
Mailing address
3629 S D ST, TACOMA, WA 98418-6813
(253) 649-1500
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60610194
WA
Other
Enumeration date
12/11/2017
Last updated
12/21/2025
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