IndividualActive
Bethany Fuller, LPC
NPI 1497543102 · Mental Health Counselor · Ellisville, MO
Provider details
- NPI number
- 1497543102
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2022003037 (MO)
Mailing address
3931 Wyoming St
Saint Louis, MO 63116-3917
Registry dates
- Enumerated
- 2025-04-30
- Last updated
- 2025-04-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.