JOHN PATRICK FULLAM

CARBONDALE, CO
NPI1720680945
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: CO  LPC.0016660)
Enumeration Date2020-11-12
Last Update Date2020-11-12
Business Address
JOHN PATRICK FULLAM LPC
725 MAIN ST
CARBONDALE, CO 81623-1936
Phone number: 973-714-3036
Mailing Address
JOHN PATRICK FULLAM LPC
811 MAIN CT
CARBONDALE, CO 81623-1851
Phone number: 973-714-3036