Individual
MR. BRENT CHARLES ULRICI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2986 COLMA ST, PLACERVILLE, CA 95667
(530) 748-3706
(530) 748-3379
Mailing address
PO BOX 1666, 2844 COLOMA ST, PLACERVILL, CA 95667
(530) 626-9240
(530) 626-8992
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/04/2017
Last updated
08/04/2017
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