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Annette Fultz, CADC
Addiction (Substance Use Disorder) Counselor in Idaho Falls, Idaho
NPI 1497154660

Annette Fultz is an Addiction (Substance Use Disorder) Counselor based in Idaho Falls, ID and is specialized in Addiction (Substance Use Disorder). Annette Fultz practices in Idaho Falls, ID and has the professional credentials of CADC. The NPI Number for Annette Fultz is 1497154660 and holds a License No. 10156-818 (Idaho).

The current practice location address for Annette Fultz is 2275 W Broadway St, Idaho Falls, ID and can be reached out via phone at 208-524-7400. You can also correspond with Annette Fultz through the mailing address at 2275 W BROADWAY ST, IDAHO FALLS, ID - 83402-2902 (mailing address contact number: ).

Location: 2275 W Broadway St, Idaho Falls, ID, 83402-2902
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Provider Profile Details
NPI Number
1497154660
Provider Name
Annette Fultz
Credential
CADC
Provider Entity Type
Individual
Gender
Female
Address
2275 W Broadway St, Idaho Falls, ID, 83402-2902
Phone Number
208-524-7400
Fax Number
Provider Enumeration Date
08/13/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2275 W Broadway St
City
State
Zip
83402-2902
Phone Number
208-524-7400
Fax Number
person
Provider Business Mailing Address Details
Address
2275 W Broadway St
City
State
Zip
83402-2902
Phone Number
208-524-7400
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
10156-818 (Idaho)
Definition
Definition to come...
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