| Fuller Living & Associates, Llc | |
|
10077 Dogwood St Nw Ste 206 Coon Rapids MN 55448 | |
| (763) 647-8188 | |
| Not Available |
| Full Name | Fuller Living & Associates, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 10077 Dogwood St Nw, Coon Rapids, Minnesota |
| Authorized Official Name and Position | Amber Rose Fuller (LMFT/PRESIDENT) |
| Authorized Official Contact | 7636478188 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fuller Living & Associates, Llc 7700 Sunwood Dr Nw 114 Ramsey MN 55303 Ph: (763) 647-8188 | Fuller Living & Associates, Llc 10077 Dogwood St Nw Ste 206 Coon Rapids MN 55448 Ph: (763) 647-8188 |
| NPI Number | 1215335674 |
|---|---|
| Provider Enumeration Date | 12/16/2014 |
| Last Update Date | 09/02/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215335674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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