Fuller, Mariel

Fuller, Mariel is an individual health care provider with primary practice located at 2008 N Garey Ave , Pomona CA 91767-2722. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Fuller, Mariel can be contacted via phone (909) 623-6131.

Contact Information

Primary practice address
2008 N Garey Ave Pomona CA 91767-2722
Phone: (909) 623-6131
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 112011 California
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 137909 California

Profile Details

NPI number 1326214867
LBN Legal business name Fuller, Mariel
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2008
Last updated Oct 30th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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