Matthew Raymond Ulm
Counselor, Addiction (Substance Use Disorder) in Galt, CA. Individual provider (NPI-1).
NPI number1013402015
StatusActive
Last updated in NPPESJun 22, 2018
Details
- NPI
- 1013402015
- Entity type
- Individual (NPI-1)
- Name
- Matthew Raymond Ulm
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 22, 2018
- Last updated
- Jun 22, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | r1307270518 | CA | Yes |
Practice location
750 Spaans DrGalt, CA 95632-8609
Phone 209-744-9909
Mailing address
750 Spaans DrGalt, CA 95632-8609
Phone 209-744-9909
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