| Fulleton Counseling | |
|
100 S Idaho Ave Fruitland ID 83619 | |
| (541) 249-5111 | |
| Not Available |
| Full Name | Fulleton Counseling |
|---|---|
| Speciality | Counselor - Professional |
| Location | 100 S Idaho Ave, Fruitland, Idaho |
| Authorized Official Name and Position | Alia Fulleton (OWNER) |
| Authorized Official Contact | 5412495111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fulleton Counseling Po Box 836 Ontario OR 97914-0836 Ph: (541) 249-5111 | Fulleton Counseling 100 S Idaho Ave Fruitland ID 83619 Ph: (541) 249-5111 |
| NPI Number | 1982469722 |
|---|---|
| Provider Enumeration Date | 02/20/2024 |
| Last Update Date | 02/20/2024 |
| Certification Date | 02/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982469722 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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