Fuller Living Therapy

NPI #1912702754 in Keizer, Oregon

Provider Information

NPI Number
1912702754
Entity Type
Organization
Organization Name
Fuller Living Therapy
Primary Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date
Feb 17, 2025
Last Updated
Feb 17, 2025

Practice Location

Address
3787 RIVER RD N STE C
City
Keizer
State
Oregon
ZIP Code
97303-4899
Phone
(619) 991-0565

Authorized Official

Name
DANIEL FULLER, LPC, LMFT
Title
THERAPIST
Phone
(971) 239-2648

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Adult Mental HealthAdult Mental Health
Clinic/Center - Adolescent and Children Mental HealthAdolescent and Children Mental Health
Clinic/Center - Mental Health (Including Community Mental Health Center)Mental Health (Including Community Mental Health Center)

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