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NPI Code Detail

MEDICARE: ELLEN ULMER NCC, LPC, CAADC

MEDICARE: ELLEN ULMER NCC, LPC, CAADC
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
1101YA0400XAddiction (Substance Use Disorder) CounselorPC002267PA
2101YM0800XMental Health CounselorPC002267PA
3101YP2500XProfessional CounselorPC006267PA

General Provider Information

NPI Number : 1750656088
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELLEN ULMER NCC, LPC, CAADC
Provider Business Mailing Address
First Line : 1370 WASHINGTON PIKE STE 303
Second Line :
City : BRIDGEVILLE
State : PA
Zip : 15017-2886
Country : US
Telephone Number : 610-892-3800
Fax Number :
Provider Business Practice Location Address
First Line : 1370 WASHINGTON PIKE STE 303
Second Line :
City : BRIDGEVILLE
State : PA
Zip : 15017-2886
Country : US
Telephone Number : 610-892-3800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2012
Last Update Date : 08/27/2025

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