Individual provider · Type 1 NPI

Nathan James Fullmer, LPC

Mental Health Counselor · Idaho Falls, ID

NPI number 1093964041 Active

Practice location

685 1st St
Idaho Falls, ID 83401-4003

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLPC-3902 (ID)

Mental Health Counselor: Definition to come...

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About NPI 1093964041

Nathan James Fullmer, LPC's National Provider Identifier is 1093964041, issued on Sep 15, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Idaho Falls, ID. The record was last updated on Jun 8, 2023.