MEDICARE: ARIANNA FULLER MA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	LPCC.0022250	CO

General Provider Information

NPI Number	:	1427915685
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARIANNA FULLER MA

Provider Business Mailing Address
First Line	:	100 ARAPAHOE AVE STE 10
Second Line	:
City	:	BOULDER
State	:	CO
Zip	:	80302-5815
Country	:	US
Telephone Number	:	720-442-0946
Fax Number	:	720-590-6618

Provider Business Practice Location Address
First Line	:	100 ARAPAHOE AVE STE 10
Second Line	:
City	:	BOULDER
State	:	CO
Zip	:	80302-5815
Country	:	US
Telephone Number	:	720-442-0946
Fax Number	:	720-590-6618

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/08/2026
Last Update Date	:	01/09/2026

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Directions to “ ARIANNA FULLER MA” Practice Location

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