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Organization

ULA SKY LLC

Active
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Organization

ULA SKY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ULA RUTAN LPC (PRESIDENT)
(517) 921-8627
Entity
Organization

Contact information

Practice address
11 E CARLETON RD, HILLSDALE, MI 49242-1619
(517) 921-8627
Mailing address
PO BOX 81, SOMERSET CENTER, MI 49282-0081
(517) 921-8627

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
12/01/2020
Last updated
12/01/2020
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