Individual
ADRIANNE FULLER-ST.JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
121 E BROADWAY BLVD, SEDALIA, MO 65301-5800
(660) 826-2380
(660) 827-6277
Mailing address
121 E BROADWAY BLVD, SEDALIA, MO 65301-5800
(660) 826-2380
(660) 827-6277
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2014001332
PA
Other
Enumeration date
04/02/2024
Last updated
04/02/2024
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