Individual
ANGELA RAE ULLERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1601 BIG TREE RD APT 708, SOUTH DAYTONA, FL 32119-8646
(386) 847-1509
Mailing address
1601 BIG TREE RD APT 708, SOUTH DAYTONA, FL 32119-8646
(386) 847-1509
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH10354
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101YM0800X
—
FL
Enumeration date
07/03/2007
Last updated
10/12/2018
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