1. Home
  2. Directory
  3. Utah
  4. Logan
  5. Marriage Family Therapist
  6. NPI Profile

MAKU MOANA MAREE FULLMER LAMFT
NPI 1366281396
Marriage & Family Therapist in Logan, UT

Active since May 20, 2024

NPPES record last updated: May 20, 2024. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Maku Moana Maree Fullmer Lamft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAKU MOANA MAREE FULLMER LAMFT (NPI 1366281396) is an individual marriage & family therapist in Logan, Utah, licensed in Utah (13980508-3904) and active in the NPI registry since May 2024. She maintains a secondary practice location in Logan.

NPPES Registry Identity

NPI1366281396
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMAKU MOANA MAREE FULLMERCredential: LAMFT
Location Address186 E 1800 NLogan, UT 84341-2019
Mailing Address1765 E 1500 NLogan, UT 84341-2929 · (435) 512-3305
Phone(435) 213-3062
Sole ProprietorNo
Enumeration DateMay 20, 2024
NPPES CertifiedMay 20, 2024
✔ NPI 1366281396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in UT · 13980508-3904
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
186 E 1800 N, Logan, UT 84341
Open in Google Maps ↗

Secondary Practice Location 1

Location 1274 N Main StLogan, UT 84321-3915 · Phone (435) 393-7939

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANETTE JAN HANSEN MSW
Social Worker
186 E 1800 N
NORTH LOGAN, UT 84341
Cache County (435) 213-3062
MRS. MELISSA D JEX
Social Worker (Clinical)
186 E 1800 N
NORTH LOGAN, UT 84341
Cache County (435) 213-3062
KAITLIN RUTH RODGERS
Counselor (Mental Health)
186 E 1800 N
NORTH LOGAN, UT 84341
Cache County (435) 213-3062
CAMILLE WEBB LCSW
Social Worker (Clinical)
186 E 1800 N
NORTH LOGAN, UT 84341
Cache County (435) 213-3062
DR. JOSH ROBERT NOVAK LMFT
Marriage & Family Therapist
186 E 1800 N
NORTH LOGAN, UT 84341
Cache County (435) 994-8219
CHARITY CHERI GOODRICH LCMHC
Counselor (Mental Health)
186 E 1800 N
NORTH LOGAN, UT 84341
Cache County (435) 213-3062
HEATHER ELIZABETH OLSEN LCSW
Social Worker (Clinical)
186 E 1800 N
NORTH LOGAN, UT 84341
Cache County (435) 754-9554
JAYLIE FOLKMAN
Counselor
186 E 1800 N
NORTH LOGAN, UT 84341
Cache County (435) 213-3062

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maku Moana Fullmer's NPI number?

The NPI number for Maku Moana Fullmer is 1366281396. It was assigned to this individual provider in the NPPES registry on May 20, 2024.

Where is Maku Moana Fullmer located?

Maku Moana Fullmer practices at 186 E 1800 N, Logan, UT 84341. The listed phone number is (435) 213-3062.

What is Maku Moana Fullmer's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Maku Moana Fullmer was last updated on May 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.