Bethany Rae Fuller, LPC
NPI #1497543102 in Ellisville, Missouri
Provider Information
- NPI Number
- 1497543102
- Entity Type
- Individual
- Name
- Bethany Rae Fuller, LPC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- LPC
- Enumeration Date
- Apr 30, 2025
- Last Updated
- Apr 30, 2025
Practice Location
- Address
- 260 CLARKSON RD
- City
- Ellisville
- State
- Missouri
- ZIP Code
- 63011-2245
- Phone
- (314) 254-3448
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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