Individual
JONATHAN FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
3081 S DAHLIA ST, DENVER, CO 80222-7330
(720) 445-5733
Mailing address
3081 S DAHLIA ST, DENVER, CO 80222-7330
(720) 445-5733
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPCC.0016524
CO
Other
Enumeration date
12/17/2020
Last updated
11/26/2025
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