Individual
HEATHER MARIE ULSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS MERP
Contact information
Practice address
1380 CENTRAL PARK BLVD STE 204, FREDERICKSBURG, VA 22401-4926
(540) 602-2545
Mailing address
1380 CENTRAL PARK BLVD STE 204, FREDERICKSBURG, VA 22401-4926
(540) 602-2545
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0704017237
VA
101YM0800X
Mental Health Counselor
0704017237
VA
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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