Individual provider · Type 1 NPI
Alia Bonnie Fulleton, LPC
Professional Counselor · Fruitland, ID
NPI number
1265136667
Active
Practice location
100 S Iowa Ave
Fruitland, ID 83619-2644
Mailing address
PO Box 836
Ontario, OR 97914-0836
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 9162 (ID) |
Professional Counselor: Definition to come...
3 other providers at this address
Other professional counselor providers in Fruitland
About NPI 1265136667
Alia Bonnie Fulleton, LPC's National Provider Identifier is 1265136667, issued on Mar 29, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fruitland, ID. The record was last updated on Mar 29, 2023.