person
Gregory Paul Ullstrom, LPC-IT,SAC-IT
Professional Counselor in Madison, Wisconsin
NPI 1710626239

Gregory Paul Ullstrom is a Professional Counselor based in Madison, WI and is specialized in Professional. Gregory Paul Ullstrom practices in Madison, WI and has the professional credentials of LPC-IT,SAC-IT. The NPI Number for Gregory Paul Ullstrom is 1710626239 and holds a License No. 19509-130 (Wisconsin).

The current practice location address for Gregory Paul Ullstrom is 1015 Gammon Ln, Madison, WI and can be reached out via phone at 608-417-8144 and via fax at 608-417-8145.

Location: 1015 Gammon Ln, Madison, WI, 53704-7860
person
Provider Profile Details
NPI Number
1710626239
Provider Name
Gregory Paul Ullstrom
Credential
LPC-IT,SAC-IT
Provider Entity Type
Individual
Gender
Male
Address
1015 Gammon Ln, Madison, WI, 53704-7860
Phone Number
608-417-8144
Fax Number
608-417-8145
Provider Enumeration Date
06/02/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1015 Gammon Ln
City
State
Zip
53719-2210
Phone Number
608-417-8144
Fax Number
608-417-8145
person
Provider Business Mailing Address Details
Address
1015 Gammon Ln
City
State
Zip
53719-2210
Phone Number
608-417-8144
Fax Number
608-417-8145
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
7001-226 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
19509-130 (Wisconsin)
Definition
Definition to come...
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