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Mr. Robert Stephen Ullom, CASI
Addiction (Substance Use Disorder) Counselor in Nevada City, California
NPI 1164749222

Robert Stephen Ullom is an Addiction (Substance Use Disorder) Counselor based in Nevada City, CA and is specialized in Addiction (Substance Use Disorder). Robert Stephen Ullom practices in Nevada City, CA and has the professional credentials of CASI. The NPI Number for Robert Stephen Ullom is 1164749222 and holds a License No. (California).

The current practice location address for Robert Stephen Ullom is 145 Bost Ave, Nevada City, CA and can be reached out via phone at 530-265-9045.

Location: 145 Bost Ave, Nevada City, CA, 95959-3249
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164749222
Provider Name
Robert Stephen Ullom
Credential
CASI
Provider Entity Type
Individual
Gender
Male
Address
145 Bost Ave, Nevada City, CA, 95959-3249
Phone Number
530-265-9045
Fax Number
Provider Enumeration Date
04/29/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9442 01 CA CAARR
institution
Provider Business Practice Location Address Details
Address
145 Bost Ave
City
Nevada City
State
California
Zip
95959-3249
Phone Number
530-265-9045
Fax Number
person
Provider Business Mailing Address Details
Address
145 Bost Ave
City
Nevada City
State
California
Zip
95959-3249
Phone Number
530-265-9045
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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