MR. Robert Stephen Ullom, CASI
NPI #1164749222 in Nevada City, California
Provider Information
- NPI Number
- 1164749222
- Entity Type
- Individual
- Name
- MR. Robert Stephen Ullom, CASI
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- CASI
- Enumeration Date
- Apr 29, 2010
- Last Updated
- Apr 29, 2010
Practice Location
- Address
- 145 BOST AVE
- City
- Nevada City
- State
- California
- ZIP Code
- 95959-3249
- Phone
- (530) 265-9045
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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