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Mr. Brian Fuller, MS,LMSW,LMHP
Mental Health Counselor in Council Bluffs, Iowa
NPI 1659576841

Brian Fuller is a Mental Health Counselor based in Council Bluffs, IA and is specialized in Mental Health. Brian Fuller practices in Council Bluffs, IA and has the professional credentials of MS,LMSW,LMHP. The NPI Number for Brian Fuller is 1659576841 and holds a License No. 1978 (Iowa).

The current practice location address for Brian Fuller is 500 Willow Ave, Council Bluffs, IA and can be reached out via phone at 712-256-4420 and via fax at 712-256-4423.

Location: 500 Willow Ave, Council Bluffs, IA, 51503-0827
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Provider Profile Details
NPI Number
1659576841
Provider Name
Brian Fuller
Credential
MS,LMSW,LMHP
Provider Entity Type
Individual
Gender
Male
Address
500 Willow Ave, Council Bluffs, IA, 51503-0827
Phone Number
712-256-4420
Fax Number
712-256-4423
Provider Enumeration Date
06/18/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1010744 05 IA
100253517-00 05 NE
institution
Provider Business Practice Location Address Details
Address
500 Willow Ave
City
State
Zip
51503-0827
Phone Number
712-256-4420
Fax Number
712-256-4423
person
Provider Business Mailing Address Details
Address
500 Willow Ave
City
State
Zip
51503-0827
Phone Number
712-256-4420
Fax Number
712-256-4423
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
1978 (Nebraska)
Definition
Definition to come...
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