Individual provider · Type 1 NPI

Annette Fultz, CADC

Addiction (Substance Use Disorder) Counselor · Idaho Falls, ID

NPI number 1497154660 Active

Practice location

2275 W Broadway St
Idaho Falls, ID 83402-2902

Call (208) 524-7400 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X10156-818 (ID)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1497154660

Annette Fultz, CADC's National Provider Identifier is 1497154660, issued on Aug 13, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Idaho Falls, ID. The record was last updated on Aug 13, 2014.