BRENT CHARLES ULRICI

PLACERVILLE, CA
NPI1982129508
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2017-08-04
Last Update Date2017-08-04
Business Address
Mr. BRENT CHARLES ULRICI
2986 COLMA ST
PLACERVILLE, CA 95667
Phone number: 530-748-3706
Mailing Address
Mr. BRENT CHARLES ULRICI
PO BOX 1666 2844 COLOMA ST
PLACERVILL, CA 95667
Phone number: 530-626-9240
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