Individual
DANIEL ULLRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
326 ADAMS AVE, SCRANTON, PA 18503-1668
(570) 348-6100
Mailing address
326 ADAMS AVE, SCRANTON, PA 18503-1668
(570) 348-6100
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC010291
PA
Other
Enumeration date
03/21/2018
Last updated
03/21/2018
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