Individual provider · Type 1 NPI

Shane R. Fullerton

Counselor · Kailua Kona, HI

NPI number 1063862852 Active

Practice location

75-5699 Alii Dr Ste E
Kailua Kona, HI 96740-3112

Call (443) 226-4939 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1063862852

Shane R. Fullerton's National Provider Identifier is 1063862852, issued on Jun 13, 2016. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Kailua Kona, HI. The record was last updated on Jun 14, 2016.