Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Maku Moana Maree Fullmer, LAMFT

Individual provider Marriage & Family Therapist · NPI 1366281396

Maku Moana Maree Fullmer, LAMFT is a Marriage & Family Therapist in Logan, Utah. Works from 2 locations. Licensed in Utah.

Licensed in
UT
In the registry since
2024

Practice location Address checks out

186 E 1800 N
Logan, UT 84341-2019
Phone: (435) 213-3062
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 274 N Main St, Logan, UT 84321-3915 — (435) 393-7939

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 13980508-3904 (UT)

Record details

NPI number1366281396
Entity typeIndividual (Type 1)
GenderFemale
Credentials LAMFT
Sole proprietorNo
NPI enumeratedMay 20, 2024
Last updated in NPPESMay 20, 2024
Certification dateMay 20, 2024

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