Nicole L Fuller, MA
Counselor, Mental Health in Bayfield, CO. Individual provider (NPI-1).
NPI number1760680474
StatusActive
Last updated in NPPESApr 21, 2025
Details
- NPI
- 1760680474
- Entity type
- Individual (NPI-1)
- Name
- Nicole L Fuller
- Credential
- MA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 3, 2007
- Certification date
- Apr 9, 2025
- Last updated
- Apr 21, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 0006767 | CO | |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 3031-BHE001 | CO |
Practice location
231 S Clover Dr Ste 100Bayfield, CO 81122-8769
Phone 970-769-2435
Mailing address
231 S Clover Dr Ste 5Bayfield, CO 81122-8833
Phone 970-769-2435
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Other Mental Health Counselor providers in Bayfield, CO
- Elisa Jaymes Horrocks, LPCNPI 1558056218
- Alison Heather RhodesNPI 1578883534
- Jillian Sperling, LCSWNPI 1831587872
- Mary TelepNPI 1932751682
All 5 Mental Health Counselor providers in Bayfield · All 114 providers in Bayfield
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