NICOLE J ULLOM

GRASS VALLEY, CA
NPI1942986344
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1510160623)
Enumeration Date2023-06-22
Last Update Date2024-09-27
Business Address
NICOLE J ULLOM RADT
180 SIERRA COLLEGE DR
GRASS VALLEY, CA 95945-5768
Phone number: 530-273-9541
Mailing Address
NICOLE J ULLOM RADT
406 SUNRISE AVE STE 105
ROSEVILLE, CA 95661-4106
Phone number: 530-878-5166
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