John Patrick Fullam, LPC
NPI #1720680945 in Carbondale, Colorado
Provider Information
- NPI Number
- 1720680945
- Entity Type
- Individual
- Name
- John Patrick Fullam, LPC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- LPC
- Enumeration Date
- Nov 12, 2020
- Last Updated
- Nov 12, 2020
Practice Location
- Address
- 725 MAIN ST
- City
- Carbondale
- State
- Colorado
- ZIP Code
- 81623-1936
- Phone
- (973) 714-3036
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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