person
Dr. Mickey Joe Fuller, MA,MS,PSYD
Professional Counselor in Moab, Utah
NPI 1427017573

Mickey Joe Fuller is a Professional Counselor based in Moab, UT and is specialized in Professional. Mickey Joe Fuller practices in Moab, UT and has the professional credentials of MA,MS,PSYD. The NPI Number for Mickey Joe Fuller is 1427017573 and holds a License No. 5329261-6006 (Utah).

The current practice location address for Mickey Joe Fuller is 198 E Center St, Moab, UT and can be reached out via phone at 435-259-6131 and via fax at 435-259-5369.

Location: 198 E Center St, Moab, UT, 84532-3636
person
Provider Profile Details
NPI Number
1427017573
Provider Name
Mickey Joe Fuller
Credential
MA,MS,PSYD
Provider Entity Type
Individual
Gender
Male
Address
198 E Center St, Moab, UT, 84532-3636
Phone Number
435-259-6131
Fax Number
435-259-5369
Provider Enumeration Date
03/18/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
198 E Center St
City
State
Zip
84532-2430
Phone Number
435-259-6131
Fax Number
435-259-5369
person
Provider Business Mailing Address Details
Address
198 E Center St
City
State
Zip
84532-2430
Phone Number
435-259-6131
Fax Number
435-259-5369
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
5329261-6010 (Utah)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
5329261-6006 (Utah)
Definition
Definition to come...
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