Individual
AMANDA MARIE FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
115 ROCKWOOD LN, HAZARD, KY 41701-9415
(606) 568-3480
(606) 436-5797
Mailing address
115 ROCKWOOD LN, HAZARD, KY 41701-9415
(606) 568-3480
(606) 436-5797
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
308544
KY
Other
Enumeration date
06/30/2026
Last updated
06/30/2026
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