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ANGELA FULLERTON

Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1801568480

Individual Registrant:
 ANGELA  FULLERTON 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
326 HIGHWAY 133 STE 270F  CARBONDALE, CO 81623-2510 US
Tel: 970-710-9074  Fax: --

Contact information for business:
326 HIGHWAY 133 STE 270F  CARBONDALE, CO 81623-2510 US
Tel: 970-710-9074  Fax: --

Registration Information:
NPI: 1801568480
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
Y101Y00000XBehavioral Health & Social Service Providers
Counselor

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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