Individual
CALEY JEAN FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
95 GOLF COURSE RD STE 105, LOGAN, UT 84321-5990
(435) 915-6398
Mailing address
694 N 240 E, SMITHFIELD, UT 84335-2525
(208) 251-6131
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
14222525-3904
UT
Other
Enumeration date
05/30/2025
Last updated
05/30/2025
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