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Individual

CATHERINE R FULLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PPC

Contact information

Practice address
1920 THOMES AVE STE 500, CHEYENNE, WY 82001-3547
(307) 640-7720
Mailing address
6302 MOCCASIN AVE, CHEYENNE, WY 82009-3469
(307) 640-7720

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1333
WY
101YM0800X
Mental Health Counselor
Primary
2531
WY
101YP2500X
Professional Counselor
Primary
2531
WY

Other

Enumeration date
02/19/2026
Last updated
04/15/2026
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