Jennifer Ann Fuller, - in Long Beach, CA

Jennifer Ann Fuller, is a Counselor - Mental Health based in Long Beach, California. Jennifer Ann Fuller is licensed to practice in California (license number 112365) and her current practice location is 1301 Pine Ave, Long Beach, California. She can be reached at her office (for appointments etc.) via phone at (562) 595-1159.

NPI number for Jennifer Ann Fuller is 1386305928 and her current mailing address is 375 Termino Ave Apt I, Long Beach, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1386305928.

Contact Information

Jennifer Ann Fuller,
1301 Pine Ave,
Long Beach, CA 90813-3124
(562) 595-1159
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameJennifer Ann Fuller
GenderFemale
SpecialityCounselor - Mental Health
Location1301 Pine Ave, Long Beach, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1386305928
  • Provider Enumeration Date: 01/05/2022
  • Last Update Date: 06/29/2023

Medical Identifiers

Medical identifiers for Jennifer Ann Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386305928NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 112365 (California)Secondary
225400000XRehabilitation Practitioner (* (Not Available))Secondary
101YM0800XCounselor - Mental Health 112365 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jennifer Ann Fuller is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jennifer Ann Fuller,
375 Termino Ave Apt I,
Long Beach, CA 90814-2870

Ph: (424) 340-4522
Jennifer Ann Fuller,
1301 Pine Ave,
Long Beach, CA 90813-3124

Ph: (562) 595-1159

Reviews and Comments



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