Individual provider · Type 1 NPI

Burton Fullmer, LPC

Mental Health Counselor · Salt Lake City, UT

NPI number 1295087112 Active

Practice location

5689 S Redwood Rd, Suite 30
Salt Lake City, UT 84123-5447

Call (801) 268-1715 Map

Fax (801) 268-1783

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X3785956004 (UT)

Mental Health Counselor: Definition to come...

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About NPI 1295087112

Burton Fullmer, LPC's National Provider Identifier is 1295087112, issued on Oct 3, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Salt Lake City, UT. The record was last updated on Oct 3, 2012.