Fullmer Counseling Llc | |
545 Shoup Ave Suite 334 Idaho Falls ID 83402-3575 | |
(208) 521-4332 | |
Not Available |
Full Name | Fullmer Counseling Llc |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 545 Shoup Ave, Idaho Falls, Idaho |
Authorized Official Name and Position | Nathan Fullmer (OWNER) |
Authorized Official Contact | 2085214332 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Fullmer Counseling Llc 545 Shoup Ave Suite 334 Idaho Falls ID 83402-3575 Ph: (208) 521-4332 | Fullmer Counseling Llc 545 Shoup Ave Suite 334 Idaho Falls ID 83402-3575 Ph: (208) 521-4332 |
NPI Number | 1275936882 |
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Provider Enumeration Date | 09/27/2014 |
Last Update Date | 09/27/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275936882 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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