Individual
NICOLE DENISE ULM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
1400 E SOUTHERN AVE STE 735, TEMPE, AZ 85282-5699
(480) 804-0326
Mailing address
4431 W MISTY WILLOW LN, GLENDALE, AZ 85310-3961
(602) 785-6948
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-22237
AZ
Other
Enumeration date
12/14/2023
Last updated
12/14/2023
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