Angela Fullerton

NPI #1801568480 in Carbondale, Colorado

Provider Information

NPI Number: 1801568480
Entity Type: Individual
Name: Angela Fullerton
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Oct 1, 2021
Last Updated: Oct 1, 2021

Practice Location

Address: 326 HIGHWAY 133 STE 270F
City: Carbondale
State: Colorado
ZIP Code: 81623-2510
Phone: (970) 710-9074

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor	101Y00000X	Primary

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