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Individual

TAYLOR ULLRICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMHC

Contact information

Practice address
960 17TH AVE SW, MOUNT VERNON, IA 52314-9201
(540) 834-6059
Mailing address
960 17TH AVE SW, MOUNT VERNON, IA 52314-9201

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
114832
IA

Other

Enumeration date
10/01/2025
Last updated
10/01/2025
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