Individual provider · Type 1 NPI

Bethany Rae Fuller, LPC

Mental Health Counselor · Ellisville, MO

NPI number 1497543102 Active

Practice location

260 Clarkson Rd
Ellisville, MO 63011-2245

Call (314) 254-3448 Map

Mailing address

3931 Wyoming St
St. Louis, MO 63116-3917

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X2022003037 (MO)

Mental Health Counselor: Definition to come...

6 other providers at this address

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About NPI 1497543102

Bethany Rae Fuller, LPC's National Provider Identifier is 1497543102, issued on Apr 30, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ellisville, MO. The record was last updated on Apr 30, 2025.