person
Burton Fullmer, LPC
Mental Health Counselor in Salt Lake City, Utah
NPI 1295087112

Burton Fullmer is a Mental Health Counselor based in Salt Lake City, UT and is specialized in Mental Health. Burton Fullmer practices in Salt Lake City, UT and has the professional credentials of LPC. The NPI Number for Burton Fullmer is 1295087112 and holds a License No. 3785956004 (Utah).

The current practice location address for Burton Fullmer is 5689 S Redwood Rd, Salt Lake City, UT and can be reached out via phone at 801-268-1715 and via fax at 801-268-1783.

Location: 5689 S Redwood Rd, Salt Lake City, UT, 84123-5447
person
Provider Profile Details
NPI Number
1295087112
Provider Name
Burton Fullmer
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
5689 S Redwood Rd, Salt Lake City, UT, 84123-5447
Phone Number
801-268-1715
Fax Number
801-268-1783
Provider Enumeration Date
10/03/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3785956004 01 UT PROFESSIONAL LICENSE
institution
Provider Business Practice Location Address Details
Address
5689 S Redwood Rd
City
State
Zip
84123-5447
Phone Number
801-268-1715
Fax Number
801-268-1783
person
Provider Business Mailing Address Details
Address
5689 S Redwood Rd
City
State
Zip
84123-5447
Phone Number
801-268-1715
Fax Number
801-268-1783
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
3785956004 (Utah)
Definition
Definition to come...
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