SAMUEL J FULLER

NAMPA, ID
NPI1306700976
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: ID  7871077)
Enumeration Date2025-12-09
Last Update Date2025-12-09
Business Address
SAMUEL J FULLER MS, LPC
207 W GEORGIA AVE APT 202
NAMPA, ID 83686-3024
Phone number: 307-204-7560
Mailing Address
SAMUEL J FULLER MS, LPC
4332 E THOMAS MILL DR
NAMPA, ID 83686-3020
Phone number: 208-461-1133
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