Annette Fultz, CADC
NPI #1497154660 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1497154660
- Entity Type
- Individual
- Name
- Annette Fultz, CADC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- CADC
- Enumeration Date
- Aug 13, 2014
- Last Updated
- Aug 13, 2014
Practice Location
- Address
- 2275 W BROADWAY ST
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83402-2902
- Phone
- (208) 524-7400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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