MIKHAEL JAMES FULLER

VANCOUVER, WA
NPI1417551409
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  123166)
Enumeration Date2020-11-30
Last Update Date2021-06-04
Business Address
MIKHAEL JAMES FULLER MA
3002 MAIN ST
VANCOUVER, WA 98663-2750
Phone number: 925-403-1737
Mailing Address
MIKHAEL JAMES FULLER MA
3002 MAIN ST
VANCOUVER, WA 98663-2750
Phone number: