Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICKEY JOE FULLER, MA, MS, PSY.D.
ActiveDR. MICKEY JOE FULLER, MA, MS, PSY.D. is a Professional Counselor healthcare provider located in MOAB, Utah. NPI 1427017573 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · MOAB, UT
Registration Details
- NPI Number
- 1427017573
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 18, 2006 (20.364560992676 yrs)
- Last Updated
- Nov 9, 2009
- Licenses
-
5329261-6006 (UT)5329261-6010 (UT)
Practice Information
- Address
-
198 E CENTER STMOAB, UT, 845322430Browse UT providers · Browse ZIP 84532
- Phone
- 4352596131
- Fax
- 4352595369
- Primary Specialty
-
Professional Counselor
101YP2500X
- Additional Specialty
- Professional Counselor
Other Professional Counselor Providers in MOAB, UT
| Name | Credential | NPI |
|---|---|---|
| RICHARD DONHAM | LPC | 1114091196 |
| MS. NANCY B. ANDERSON | L.P.C. | 1790983732 |
| HOLLY REBECCA LONG | PC | 1821234964 |
| AMBER DAWN FOWLER | CMHC | 1043648108 |
| BELINDA LOU HURST | CMHC | 1346694544 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.