QUINCY FULLER
Individual Provider (NPI-1)
Active
Counselor
Provider Information
- NPI Number
1699455253- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 508 UPLAND ST, KENAI, AK, 996118026
- Phone
- (907) 953-3491
Specialties & Taxonomies
Counselor, Addiction (Substance Use Disorder)
License: AK
Counselor
Primary License: AK
All Addresses
MAILING
508 UPLAND ST
KENAI, AK, 996118026