ROBERT STEPHEN ULLOM

NEVADA CITY, CA
NPI1164749222
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2010-04-29
Last Update Date2010-04-29
Business Address
Mr. ROBERT STEPHEN ULLOM CASi
145 BOST AVE
NEVADA CITY, CA 95959-3249
Phone number: 530-265-9045
Mailing Address
Mr. ROBERT STEPHEN ULLOM CASi
145 BOST AVE
NEVADA CITY, CA 95959-3249
Phone number: 530-265-9045