| NPI | 1679127781 |
|---|---|
| Doing Business As | FULLER LIFE COUNSELING |
| Entity Type | Organization |
| Authorized Contact | KRISTINA WATT FULLER Owner 270-791-8189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2019-07-26 |
| Last Update Date | 2022-08-18 |