Individual provider · Type 1 NPI

Pesia Judith Ulm

Addiction (Substance Use Disorder) Counselor · Fairborn, OH

NPI number 1568123768 Active

Practice location

302 W Main St
Fairborn, OH 45324-5037

Fax (937) 318-1120

Mailing address

100 Crowne Point Pl
Cincinnati, OH 45241-5427

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XC.2305140 (OH)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLICDC.162594 (OH)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1568123768

Pesia Judith Ulm's National Provider Identifier is 1568123768, issued on Jan 10, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fairborn, OH. The record was last updated on Mar 20, 2024.