Individual
RACHEL FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
714 S STATE ST, OREM, UT 84058-6366
(801) 426-6565
Mailing address
714 S STATE ST, OREM, UT 84058-6366
(801) 426-6565
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10842179-6014
UT
Other
Enumeration date
09/18/2018
Last updated
09/18/2018
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