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Joseph Ulestad
Addiction (Substance Use Disorder) Counselor in Grand Ronde, Oregon
NPI 1225733298

Joseph Ulestad is an Addiction (Substance Use Disorder) Counselor based in Grand Ronde, OR and is specialized in Addiction (Substance Use Disorder). Joseph Ulestad practices in Grand Ronde, OR. The NPI Number for Joseph Ulestad is 1225733298 and holds a License No. THW000108393 (Oregon).

The current practice location address for Joseph Ulestad is 9615 Grand Ronde Rd, Grand Ronde, OR and can be reached out via phone at 503-879-2297.

Location: 9615 Grand Ronde Rd, Grand Ronde, OR, 97347-9712
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225733298
Provider Name
Joseph Ulestad
Credential
Provider Entity Type
Individual
Gender
Male
Address
9615 Grand Ronde Rd, Grand Ronde, OR, 97347-9712
Phone Number
503-879-2297
Fax Number
Provider Enumeration Date
03/31/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9615 Grand Ronde Rd
City
Grand Ronde
State
Oregon
Zip
97347-9712
Phone Number
503-879-2297
Fax Number
person
Provider Business Mailing Address Details
Address
9615 Grand Ronde Rd
City
Grand Ronde
State
Oregon
Zip
97347-9712
Phone Number
503-879-2297
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.
T-23-2490 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
THW000108393 (Oregon)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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