Individual provider · Type 1 NPI

Jennie Rebecca Fullmer, LPC

Professional Counselor · Twin Falls, ID

NPI number 1720433600 Active

Practice location

1363 Fillmore St
Twin Falls, ID 83301-3392

Call (208) 736-7090 Map

Fax (208) 736-7089

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC-6127 (ID)

Professional Counselor: Definition to come...

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About NPI 1720433600

Jennie Rebecca Fullmer, LPC's National Provider Identifier is 1720433600, issued on Apr 28, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Twin Falls, ID. The record was last updated on Apr 28, 2016.