Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Fullerton Counseling and Medical Group, Inc

Organization Mental Health Counselor · NPI 1821131673

Fullerton Counseling and Medical Group, Inc provides Mental Health Counselor services in Fullerton, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2228 N State College Blvd
Fullerton, CA 92831-1361 Not confirmed with CMS for 11 years — call before visiting
Phone: (714) 990-0700
Fax: (714) 990-0142
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prescribing (Medical) Psychologist (primary) Taxonomy 103TP0016X · Licence C38832 (CA)
Mental Health Counselor Taxonomy 101YM0800X · Licence PSY6172 (CA)
Mental Health Counselor Taxonomy 101YM0800X · Licence PSY15282 (CA)
Marriage & Family Therapist Taxonomy 106H00000X · Licence ML012201 (CA)

Record details

NPI number1821131673
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Justine Petrie — President · (714) 990-0700
NPI enumeratedFebruary 14, 2007
Last updated in NPPESMarch 26, 2015
Mailing address2228 N State College Blvd, Fullerton, CA 92831-1361

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