Mickey Joe Fuller is a Professional in Moab, Utah. Mickey Joe Fuller practices all healthcare services and medical treatments related to Professional. The NPI Number for Mickey Joe Fuller is 1427017573. The last update date is 2009-11-09.
Mickey Joe Fuller's current location address is 3310 Spanish Valley Dr, Moab, Utah. You can contact this provider via phone number 8019533113. The mailing address for Mickey Joe Fuller is 3310 Spanish Valley Dr, Moab, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mickey Joe Fuller |
|---|---|
| Address | 3310 Spanish Valley Dr, Moab, Utah |
| Phone Number | 8019533113 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MA, MS, PS |
NPI Number Detail
| NPI Number | 1427017573 |
|---|---|
| Provider Enumeration Date | 2006-03-18 |
| Last Updated Date | 2009-11-09 |
Provider Mailing Address Detail
| Address | 3310 Spanish Valley Dr |
|---|---|
| City | Moab |
| State | Utah (UT) |
| Post Code | 845323636 |
| Phone Number | 8019533113 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | 5329261-6010 |
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Definition: A general counselor who helps people with personal, social, educational, and career issues. |
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What is the unique identification code assigned to Mickey Joe Fuller by the Centers for Medicare & Medicaid Services?
The Mickey Joe Fuller has been issued the NPI (National Provider Identifier) 1427017573. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Mickey Joe Fuller located?
The Mickey Joe Fuller is located at 3310 Spanish Valley Dr, Moab, UT 845323636.
What is Mickey Joe Fuller's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mickey Joe Fuller is Professional, and the corresponding taxonomy classification code for this specialized field is 101Yp2500X.
On what date was the 1427017573 assigned to Mickey Joe Fuller?
The Mickey Joe Fuller was issued its 1427017573 on 2006-03-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Mickey Joe Fuller most recently updated or revised?
The details related to Mickey Joe Fuller, including its address, specialty, and other relevant information, were last updated or revised on 2009-11-09.
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