person
Alia Bonnie Fulleton, LPC
Professional Counselor in Fruitland, Idaho
NPI 1265136667

Alia Bonnie Fulleton is a Professional Counselor based in Ontario, ID and is specialized in Professional. Alia Bonnie Fulleton practices in Fruitland, ID and has the professional credentials of LPC. The NPI Number for Alia Bonnie Fulleton is 1265136667 and holds a License No. 9162 (Idaho).

The current practice location address for Alia Bonnie Fulleton is 100 S Iowa Ave, Fruitland, ID and can be reached out via phone at 541-249-5111.

Location: 100 S Iowa Ave, Fruitland, ID, 97914-0836
person
Provider Profile Details
NPI Number
1265136667
Provider Name
Alia Bonnie Fulleton
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
100 S Iowa Ave, Fruitland, ID, 97914-0836
Phone Number
541-249-5111
Fax Number
Provider Enumeration Date
03/29/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
100 S Iowa Ave
City
State
Zip
83619-2644
Phone Number
541-249-5111
Fax Number
person
Provider Business Mailing Address Details
Address
100 S Iowa Ave
City
State
Zip
83619-2644
Phone Number
541-249-5111
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
9162 (Idaho)
Definition
Definition to come...
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