Individual provider · Type 1 NPI
Nicole L. Fuller, MA
Mental Health Counselor · Bayfield, CO
NPI number
1760680474
Active
Practice location
231 S Clover Dr Ste 100
Bayfield, CO 81122-8769
Mailing address
231 S Clover Dr Ste 5
Bayfield, CO 81122-8833
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0006767 (CO) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 3031-BHE001 (CO) |
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
Other mental health counselor providers in Bayfield
About NPI 1760680474
Nicole L. Fuller, MA's National Provider Identifier is 1760680474, issued on Jul 3, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bayfield, CO. The record was last updated on Apr 21, 2025.