KENNETH LEON FULLER JR.
Counselor

Address: 1965 Live Oak Blvd, Yuba City, CA 95991-8850

KENNETH LEON FULLER JR. (NPI# 1851816755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851816755
Entity Type Individual
Full Name MR. KENNETH LEON FULLER JR.
Gender Male
Practice Address 1965 Live Oak Blvd
Yuba City
CA 95991-8850
Practice Telephone 5308227200
Mailing Telephone 5308227200
Enumeration Date 2017-08-11
Last Update Date 2018-01-22
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Taxonomy Group
N 101Y00000X Counselor Behavioral Health & Social Service Providers
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Office Location

Street Address 1965 LIVE OAK BLVD
City YUBA CITY
State CA
Zip Code 95991-8850

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609851757 Charles William Maas Psychiatry & Neurology · Psychiatry 1965 Live Oak Blvd, Sutter-Yuba Mental Heath Youth Services, Yuba City, CA 95991 2005-12-13
1871181099 Anabelle Valladares Counselor · Mental Health 1965 Live Oak Blvd, Yuba City, CA 95991-8850 2021-01-04
1023612934 Melissa Garfias Counselor · Mental Health 1965 Live Oak Blvd, Yuba City, CA 95991-8850 2020-11-23
1376157768 Consuelo E Sandoval-Esquivel Counselor · Mental Health 1965 Live Oak Blvd, Yuba City, CA 95991-8850 2020-09-02
1407460827 Dan Reyes Counselor · Mental Health 1965 Live Oak Blvd, Yuba City, CA 95991-8850 2020-09-02
1225648553 Jacob Charles Pupo Counselor · Mental Health 1965 Live Oak Blvd, Yuba City, CA 95991-8850 2020-08-02
1427666775 Tamara Jordan Counselor · Mental Health 1965 Live Oak Blvd, Yuba City, CA 95991-8850 2020-07-22
1083230965 Tiffany Madrigal Counselor · Mental Health 1965 Live Oak Blvd, Yuba City, CA 95991-8850 2020-06-17
1831714955 Lisa Novak · Lisa Bordenkircher Registered Nurse 1965 Live Oak Blvd, Yuba City, CA 95991-8850 2020-06-15
1952923252 Alexis Rickards Counselor · Mental Health 1965 Live Oak Blvd, Yuba City, CA 95991-8850 2020-05-11
Find all providers in the same address

Providers in the same city

NPI Name Taxonomy Address Enumeration
1073100996 Lovdeep Kaur Pharmacist 3106 Railroad Ave, Yuba City, CA 95991-9229 2020-12-26
1700472263 Yevgeniy Malykhin Physical Therapist 1528 Plumas Ct Ste 200, Yuba City, CA 95991-2973 2020-12-17
1912593013 Kristin Jarvis Specialist 2846 Quail Pointe Dr, Yuba City, CA 95993-9681 2020-12-14
1710581970 Aronpal Dhugga Pharmacist 1728 Vintage Ct, Yuba City, CA 95993-5178 2020-11-27
1154921427 Alexie Mcpeters Behavior Technician 3601 Jefferson Ave, Yuba City, CA 95993-8729 2020-10-27
1831798941 Gurjashan Singh Grewal Behavior Technician 3764 S Walton Ave, Yuba City, CA 95993-9229 2020-10-20
1477152585 Kayla Irene Hickman Behavior Technician 750 Lincoln Rd Apt 41, Yuba City, CA 95991-6699 2020-10-20
1821696469 Abby Rose Disney Behavior Technician 1022 Johnathan Dr, Yuba City, CA 95993-8112 2020-10-15
1346848181 Margaret Li Cheng Physical Therapist 1103 Butte House Rd, Yuba City, CA 95991-3109 2020-10-14
1083212914 Wellpath Community Care LLC Community/Behavioral Health 1352 Colusa Hwy Ste C, Yuba City, CA 95993-9147 2020-10-13
Find all providers in YUBA CITY

Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205348463 Michael Shane Allen 1525 Plumas Ct Ste D, Yuba City, CA 95991-2971 2017-10-27
1477841211 Jonathon Glen Lambson 791 Queens Ave, Yuba City, CA 95991 2011-07-14
1639347867 Stephanie Catherine Fischer 1585 Butte House Rd Ste C, Yuba City, CA 95993-2200 2008-02-11
1164558136 Katherine Atran Moore 840 Olive St, Yuba City, CA 95991-3922 2007-02-26
1245377431 Jacquelyn Joan Stanfill 809 Plumas St, Yuba City, CA 95991-4437 2007-01-30
1871181099 Anabelle Valladares 1965 Live Oak Blvd, Yuba City, CA 95991-8850 2021-01-04
1811591407 Tarah Kalinen 1525 Plumas Ct Ste C&d, Yuba City, CA 95991-2971 2020-11-24
1023612934 Melissa Garfias 1965 Live Oak Blvd, Yuba City, CA 95991-8850 2020-11-23
1578177838 Ko Sue Yang 1525 Plumas Ct Ste C&d, Yuba City, CA 95991-2971 2020-09-03
1376157768 Consuelo E Sandoval-Esquivel 1965 Live Oak Blvd, Yuba City, CA 95991-8850 2020-09-02
Find all providers in YUBA CITY

Competitor

Search similar providers

City YUBA CITY
Zip Code 95991

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.