NATHAN JAMES FULLMER

IDAHO FALLS, ID
NPI1093964041
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: ID  LPC-3902)
Enumeration Date2008-09-15
Last Update Date2023-06-08
Business Address
NATHAN JAMES FULLMER LPC
685 1ST ST
IDAHO FALLS, ID 83401-4003
Phone number: 208-228-7043
Mailing Address
NATHAN JAMES FULLMER LPC
685 1ST ST
IDAHO FALLS, ID 83401-4003
Phone number: 208-228-7043
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