Individual
ANGELA FULLERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
326 HIGHWAY 133 STE 270F, CARBONDALE, CO 81623-2510
(970) 710-9074
Mailing address
326 HIGHWAY 133 STE 270F, CARBONDALE, CO 81623-2510
(970) 710-9074
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Enumeration date
10/01/2021
Last updated
10/01/2021
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