ILEA FULLER LPC CAADC NPI 1467988170

NPI Information

NPI: 1467988170
Provider Name: ILEA FULLER, LPC, CAADC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
540 DEPOT ST
HANCOCK, MI
ZIP 49930
Phone: (906) 482-7282
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Ilea Fuller, LPC, CAADC is an addiction (substance use disorder) counselor in Hancock, MI. Ilea Fuller, LPC, CAADC NPI is 1467988170. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

540 DEPOT ST
HANCOCK, MI
ZIP 49930-031
Phone: (906) 482-7282

The enumeration date for this NPI number is 5/2/2017 and was last updated on 4/9/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)			No
2	101YM0800X	Counselor	Mental Health	6401019086	MICHIGAN	No
3	101YA0400X	Counselor	Addiction (Substance Use Disorder)	C-03721	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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