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.
Healthcare Provider's Profile
Full Name | Jennifer Ann Fuller |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 1301 Pine Ave, Long Beach, California |
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Accepts Medicare Assignments | Does 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.
Identifier | Type | State | Issuer |
1386305928 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 112365 (California) | Secondary |
225400000X | Rehabilitation Practitioner | (* (Not Available)) | Secondary |
101YM0800X | Counselor - 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 Address | Practice 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 |
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