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Search › California › Rehabilitation Practitioner

Michael Fuller

NPI 1083084115 · on the registry since 2015 · sole proprietor

Practice

Address
14763 Manzanita Rd
Beaumont, CA 92223
Phone
(909) 433-9824

Additional practice sites

  • 1076 Santo Antonio Dr, Colton, CA

Registry record

Primary taxonomy
Rehabilitation Practitioner
225400000X
Also registered as
Addiction (Substance Use Disorder) Counselor
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-08-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California