K'chelle Mari Fuller, SUD is a
Day Training/habilitation Specialist based in San Francisco, California. K'chelle Mari Fuller is licensed to practice in * (Not Available) (license number ) and her current practice location is
1249 Scott St, San Francisco, California. She can be reached at her office (for appointments etc.) via phone at
(415) 922-9104.
NPI number for K'chelle Mari Fuller is 1770200511 and her current mailing address is 170 9th St, San Francisco, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1770200511.
Healthcare Provider's Profile
| Full Name | K'chelle Mari Fuller |
|---|
| Gender | Female |
|---|
| Speciality | Day Training/habilitation Specialist |
|---|
| Location | 1249 Scott St, San Francisco, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1770200511
- Provider Enumeration Date: 10/24/2022
- Last Update Date: 12/04/2025
Medical Identifiers
Medical identifiers for K'chelle Mari Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770200511 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 373H00000X | Day Training/habilitation Specialist | (* (Not Available)) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 13722 (California) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | Secondary |
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. K'chelle Mari 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 |
|---|
K'chelle Mari Fuller, SUD
170 9th St,
San Francisco, CA 94103-2603
Ph: (415) 255-6544 | K'chelle Mari Fuller, SUD
1249 Scott St,
San Francisco, CA 94115-4008
Ph: (415) 922-9104 |
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