person
John Patrick Fullam, LPC
Mental Health Counselor in Carbondale, Colorado
NPI 1720680945

John Patrick Fullam is a Mental Health Counselor based in Carbondale, CO and is specialized in Mental Health. John Patrick Fullam practices in Carbondale, CO and has the professional credentials of LPC. The NPI Number for John Patrick Fullam is 1720680945 and holds a License No. LPC.0016660 (Colorado).

The current practice location address for John Patrick Fullam is 725 Main St, Carbondale, CO and can be reached out via phone at 973-714-3036.

Location: 725 Main St, Carbondale, CO, 81623-1851
person
Provider Profile Details
NPI Number
1720680945
Provider Name
John Patrick Fullam
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
725 Main St, Carbondale, CO, 81623-1851
Phone Number
973-714-3036
Fax Number
Provider Enumeration Date
11/12/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LPC.0016660 01 CO STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
725 Main St
City
State
Zip
81623-1936
Phone Number
973-714-3036
Fax Number
person
Provider Business Mailing Address Details
Address
725 Main St
City
State
Zip
81623-1936
Phone Number
973-714-3036
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LPC.0016660 (Colorado)
Definition
Definition to come...
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