Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nicole J Ullom, RADT

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1942986344

Nicole J Ullom, RADT is an Addiction (Substance Use Disorder) Counselor in Grass Valley, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023
Specialties on file
2

Practice location Address checks out

900 E Main St Ste 201
Grass Valley, CA 95945-5853
Phone: (530) 273-2244
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X (CA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence R1510160623 (CA)

Record details

NPI number1942986344
Entity typeIndividual (Type 1)
GenderFemale
Credentials RADT
Sole proprietorNo
NPI enumeratedJune 22, 2023
Last updated in NPPESJanuary 6, 2025
Certification dateJanuary 6, 2025

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