Individual provider · Type 1 NPI

Samuel J. Fuller, MS, LPC

Mental Health Counselor · Nampa, ID

NPI number 1306700976 Active

Practice location

207 W Georgia Ave Apt 202
Nampa, ID 83686-3024

Call (307) 204-7560 Map

Mailing address

4332 E Thomas Mill Dr
Nampa, ID 83686-3020

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X7871077 (ID)

Mental Health Counselor: Definition to come...

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About NPI 1306700976

Samuel J. Fuller, MS, LPC's National Provider Identifier is 1306700976, issued on Dec 9, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Nampa, ID. The record was last updated on Dec 9, 2025.