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Individual
JOSEPH ULESTAD
Active
Individual
JOSEPH ULESTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-23-2490
OR
175T00000X
Peer Specialist
THW000108393
OR
Other
Enumeration date
03/31/2023
Last updated
10/02/2023
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