Individual provider · Type 1 NPI
Gregory Paul Ullstrom, L..P..C.
Professional Counselor · Madison, WI
NPI number
1710626239
Active
Practice location
122 W Washington Ave
Madison, WI 53703-2718
Mailing address
4800 N Scottsdale Rd Ste 2500
Scottsdale, AZ 85251-7630
Other practice locations
- 1015 Gammon Ln, Madison, WI 53719-2210 · (608) 417-8144
- 933 Rockefeller Ln, Madison, WI 53704-7860 · (608) 520-3817
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 19509-130 (WI) |
| Professional Counselor | 101YP2500X | 7001-226 (WI) |
| Professional Counselor Primary | 101YP2500X | 11073-125 (WI) |
Professional Counselor: Definition to come...
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About NPI 1710626239
Gregory Paul Ullstrom, L..P..C.'s National Provider Identifier is 1710626239, issued on Jun 2, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Madison, WI. The record was last updated on Aug 12, 2025.