| Shane R Fullerton, | |
|
75-5699 Alii Dr Ste E, Kailua Kona, HI 96740-3112 | |
| (443) 226-4939 | |
| Not Available |
| Full Name | Shane R Fullerton |
|---|---|
| Gender | Male |
| Speciality | Counselor |
| Location | 75-5699 Alii Dr Ste E, Kailua Kona, Hawaii |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063862852 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Shane R Fullerton, 75-5699 Alii Dr Ste E, Kailua Kona, HI 96740-3112 Ph: () - | Shane R Fullerton, 75-5699 Alii Dr Ste E, Kailua Kona, HI 96740-3112 Ph: (443) 226-4939 |
Dr. Diane Logan, PHD, CSAC Counselor Medicare: Accepting Medicare Assignments Practice Location: 75-5751 Kuakini Hwy Ste 104, Kailua Kona, HI 96740 Phone: 808-326-5629 | |
Mr. Daniel Aaron Debiec, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 73-4329 Keokeo St, Kailua Kona, HI 96740 Phone: 610-413-3806 | |
Bethany Albrecht, Counselor Medicare: Not Enrolled in Medicare Practice Location: 74-381 Kealakehe Pkwy, Suite I, Kailua Kona, HI 96740 Phone: 808-329-6395 Fax: 808-329-1461 | |
Melissa D Ortega, Counselor Medicare: Not Enrolled in Medicare Practice Location: 74-381 Kealakehe Hwy, Kailua Kona, HI 96740 Phone: 808-589-1829 | |
Ross Hunt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 75-170 Hualalai Rd, 3rd Floor, Suite C310, Kailua Kona, HI 96740 Phone: 808-589-1829 Fax: 808-589-2610 | |
Kevin Deeds, SAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 75-170 Hualalai Rd, Kailua Kona, HI 96740 Phone: 808-895-0148 Fax: 808-664-6721 |