Individual provider · Type 1 NPI

Voneda Jane Fullerton, AA

Mental Health Counselor · Portland, OR

NPI number 1821489451 Active

Practice location

200 SE 7th Ave
Portland, OR 97214-1200

Fax (503) 239-7390

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1821489451

Voneda Jane Fullerton, AA's National Provider Identifier is 1821489451, issued on Feb 18, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Feb 18, 2015.