Provider Demographics
NPI:1386779106
Name:ULRICH, SCOTT LORREN (MS, LPC, CAC III)
Entity type:Individual
Prefix:MR
First Name:SCOTT
Middle Name:LORREN
Last Name:ULRICH
Suffix:
Gender:M
Credentials:MS, LPC, CAC III
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5460 WARD RD STE 140
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80002-1818
Mailing Address - Country:US
Mailing Address - Phone:720-380-5203
Mailing Address - Fax:
Practice Address - Street 1:5460 WARD RD STE 140
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80002-1818
Practice Address - Country:US
Practice Address - Phone:720-380-5203
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-22
Last Update Date:2016-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
CO5220101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health