Alia Bonnie Fulleton, LPC

NPI #1265136667 in Fruitland, Idaho

Provider Information

NPI Number: 1265136667
Entity Type: Individual
Name: Alia Bonnie Fulleton, LPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: LPC
Enumeration Date: Mar 29, 2023
Last Updated: Mar 29, 2023

Practice Location

Address: 100 S IOWA AVE
City: Fruitland
State: Idaho
ZIP Code: 83619-2644
Phone: (541) 249-5111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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