Fuller, Jennifer D

Fuller, Jennifer D is an individual health care provider with primary practice located at 304 W Baseline Rd , Lafayette CO 80026-1719. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Fuller, Jennifer D can be contacted via phone (303) 827-4973.

Contact Information

Primary practice address
304 W Baseline Rd Lafayette CO 80026-1719
Phone: (303) 827-4973
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 7203 Colorado
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 5780 Colorado

Profile Details

NPI number 1861784571
LBN Legal business name Fuller, Jennifer D
Credentials L.P.C., C.A.C. II
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2011
Last updated Sep 15th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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