Organization · Type 2 NPI
Fuller Behavior Program
Mental Health Counselor · Grand Prairie, TX
NPI number
1710246293
Active
Practice location
2803 Riverside Pkwy Apt 4502
Grand Prairie, TX 75050-8747
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1710246293
Fuller Behavior Program's National Provider Identifier is 1710246293, issued on May 3, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Grand Prairie, TX. The record was last updated on May 3, 2012.