Burton Fullmer LPC

NPI 1295087112 - Counselor - 101YM0800X

NPI Details
NPI 1295087112
Gender Male
Enumeration Date 10/03/2012
Last Updated 10/03/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
5689 S REDWOOD RD
SUITE 30
SALT LAKE CITY UT, 84123-5447, US
Phone (801) 268-1715
Fax (801) 268-1783
Business Location
5689 S REDWOOD RD
SUITE 30
SALT LAKE CITY UT, 84123-5447, US
Phone (801) 268-1715
Fax (801) 268-1783
Toxanomy
Taxonomy Code 101YM0800X
License State Utah
License Number 3785956004
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According to our database, Burton Fullmer LPC NPI is 1295087112, taxonomy code is 101YM0800X and license number is 3785956004, license state is located at Utah. Burton Fullmer LPC physically located at 5689 S Redwood Rd, Salt Lake City UT, 84123-5447. NPI Number Burton Fullmer LPC has the Individual type.

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1295087112 NPI number is provided on an as is basis without warranty of any kind. 1295087112 is maintained by the National Plan & Provider Enumeration System. The contents of Burton Fullmer LPC are for informational purposes only.