ANNETTE FULTZ

IDAHO FALLS, ID
NPI1497154660
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: ID  10156-818)
Enumeration Date2014-08-13
Last Update Date2014-08-13
Business Address
ANNETTE FULTZ CADC
2275 W BROADWAY ST
IDAHO FALLS, ID 83402-2902
Phone number: 208-524-7400
Mailing Address
ANNETTE FULTZ CADC
2275 W BROADWAY ST
IDAHO FALLS, ID 83402-2902
Phone number:
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