# MRS. ANNELISE ULRICH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1114250883
- **Gender:** F
- **Credential:** LICSW, LADC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 089-00509 | VT | — |
| 1041C0700X | Clinical Social Worker | 0890058105 | VT | Yes |

## Other

- **Enumeration date:** 09/14/2009
- **Last updated:** 08/12/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1016818 | — | VT |