Ulrich, Annelise
Ulrich, Annelise is an individual health care provider with primary practice located at 215 Stratton Rd , Rutland VT 05701-4621. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Ulrich, Annelise can be contacted via phone (802) 773-3386.Contact Information
Primary practice address
215 Stratton Rd
Rutland VT 05701-4621
Phone: (802) 773-3386
Fax: (802) 773-4578
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 0890058105 | Vermont |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 089-00509 | Vermont |
Profile Details
| NPI number | 1114250883 |
|---|---|
| LBN Legal business name | Ulrich, Annelise |
| Credentials | LICSW, LADC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 14th, 2009 |
| Last updated | Aug 12th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114250883 | NPPES |
| Vermont | MEDICAID | 1016818 |
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