BRIAN FULLER

COUNCIL BLUFFS, IA
NPI1659576841
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NE  1978)
Enumeration Date2007-06-18
Last Update Date2008-06-19
Business Address
Mr. BRIAN FULLER MS, LMSW, LMHP
500 WILLOW AVE SUITE 305
COUNCIL BLUFFS, IA 51503-0827
Phone number: 712-256-4420
Mailing Address
Mr. BRIAN FULLER MS, LMSW, LMHP
500 WILLOW AVE SUITE 305
COUNCIL BLUFFS, IA 51503-0827
Phone number: 712-256-4420
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