Individual provider · Type 1 NPI

Brian Fuller, MS, LMSW, LMHP

Mental Health Counselor · Council Bluffs, IA

NPI number 1659576841 Active

Practice location

500 Willow Ave, Suite 305
Council Bluffs, IA 51503-0827

Fax (712) 256-4423

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X1978 (NE)

Mental Health Counselor: Definition to come...

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About NPI 1659576841

Brian Fuller, MS, LMSW, LMHP's National Provider Identifier is 1659576841, issued on Jun 18, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Council Bluffs, IA. The record was last updated on Jun 19, 2008.