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Michael Fuller
Mental Health Counselor in Carson City, Nevada
NPI 1144638594

Michael Fuller is a Mental Health Counselor based in Carson City, NV and is specialized in Mental Health. Michael Fuller practices in Carson City, NV. The NPI Number for Michael Fuller is 1144638594 and holds a License No. (Nevada).

The current practice location address for Michael Fuller is 777 Silver Oak Dr Apt D117, Carson City, NV and can be reached out via phone at 775-443-0138.

Location: 777 Silver Oak Dr Apt D117, Carson City, NV, 89702-0272
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144638594
Provider Name
Michael Fuller
Credential
Provider Entity Type
Individual
Gender
Male
Address
777 Silver Oak Dr Apt D117, Carson City, NV, 89702-0272
Phone Number
775-443-0138
Fax Number
Provider Enumeration Date
07/30/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
101YM0800X 05 NV
institution
Provider Business Practice Location Address Details
Address
777 Silver Oak Dr Apt D117
City
Carson City
State
Nevada
Zip
89706-1908
Phone Number
775-443-0138
Fax Number
person
Provider Business Mailing Address Details
Address
777 Silver Oak Dr Apt D117
City
Carson City
State
Nevada
Zip
89706-1908
Phone Number
775-443-0138
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
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Definition
Definition to come...
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