SearchColoradoMental Health Counselor

John Fullam, LPC

NPI 1720680945 · on the registry since 2020 · sole proprietor

Practice

Address
725 Main St
Carbondale, CO 81623
Phone
(973) 714-3036
Organisation at this address
Jaywalker Lodge Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Additional practice sites

  • 811 Main Ct, Carbondale, CO

Registry record

Primary taxonomy
Mental Health Counselor
101YM0800X
Licence states on file
CO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-11-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado