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NPI Code Detail

MEDICARE: DANIEL ULBERG LPC

MEDICARE: DANIEL ULBERG LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1043450398
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL ULBERG LPC
Provider Business Mailing Address
First Line : 6028 S 66TH EAST AVE
Second Line : STE 105
City : TULSA
State : OK
Zip : 74145-9226
Country : US
Telephone Number : 918-809-8164
Fax Number : 918-499-2280
Provider Business Practice Location Address
First Line : 6028 S 66TH EAST AVE
Second Line : STE 105
City : TULSA
State : OK
Zip : 74145-9226
Country : US
Telephone Number : 918-809-8164
Fax Number : 918-499-2280
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2009
Last Update Date : 03/08/2021

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