DR. MICKEY FULLER, MA, MS, PSY.D.
Counselor - Professional
Active
Individual
NPI: 1427017573
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | No | 5329261-6006 (UT) |
| Counselor - Professional | 101YP2500X | Yes | 5329261-6010 (UT) |
Frequently Asked Questions
NPI 1427017573 is the National Provider Identifier for DR. MICKEY FULLER, MA, MS, PSY.D., a Counselor - Professional provider located in Moab, UT. This NPI was enumerated on March 18, 2006.
DR. MICKEY FULLER, MA, MS, PSY.D. practices at 198 E CENTER ST, Moab, UT 84532.
Quick Facts
- NPI
- 1427017573
- Type
- Individual
- Enumerated
- Mar 18, 2006
- Last Updated
- Nov 9, 2009
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