Individual
MRS. ANGI LYN ULLRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1942 E. CANTRELL ST, DECATOR, IL 62521
(217) 423-6961
Mailing address
1942 E. CANTRELL ST, DECATOR, IL 62521
(217) 423-6961
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180006700
IL
101YP2500X
Professional Counselor
180006700
IL
Other
Enumeration date
02/18/2008
Last updated
06/04/2021
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