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Individual
ANGELA FULLER
Active
Individual
ANGELA FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CPC-I
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CI0284
NV
101YM0800X
Mental Health Counselor
—
NULL
101YP2500X
Professional Counselor
14194739-6004
UT
101YP2500X
Professional Counselor
3671648
ID
101YP2500X
Professional Counselor
CP1255
NV
Other
Enumeration date
12/12/2014
Last updated
04/02/2026
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