Gregory Ullstrom's National Provider Identifier (NPI) Details
Gregory Ullstrom, LPC, SAC-IT
NPI: 1710626239
Enumeration Date: 2022-06-02
Last updated: 2024-06-03
Sole Proprietor: NO
Status: active
Postal Address: 1015 GAMMON LN, MADISON, WI
Phone: 608-417-8144
Primary Practice Address: 933 ROCKEFELLER LN, MADISON, WI
Practice's phone: 608-417-8165