ALIA BONNIE FULLETON LPC NPI 1265136667

NPI Information

  • NPI: 1265136667
  • Provider Name: ALIA BONNIE FULLETON, LPC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 100 S IOWA AVE
    FRUITLAND, ID
    ZIP 83619
  • Phone: (541) 249-5111

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NPI Details

Alia Bonnie Fulleton, LPC is a professional counselor in Fruitland, ID. Alia Bonnie Fulleton, LPC NPI is 1265136667. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

100 S IOWA AVE
FRUITLAND, ID
ZIP 83619-644
Phone: (541) 249-5111

The enumeration date for this NPI number is 3/29/2023 and was last updated on 3/29/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessional9162IDAHOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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