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Organization

HIGH DESERT PSYCHOLOGY AND WELLNESS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ADAM K FULLER PH.D. (PRESIDENT/CEO/CLINICAL DIRECTOR)
(435) 631-9918
Entity
Organization

Contact information

Practice address
191 OVERTHRUST RD, EVANSTON, WY 82930-9261
(435) 631-9918
Mailing address
235 HAYDEN AVE, EVANSTON, WY 82930-5606
(435) 631-9918

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
306
WY

Other

Enumeration date
02/23/2018
Last updated
03/17/2018
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