MR. Kelly J Schultz, L.P.C,S.A.C.

NPI #1881809119 in Medford, Wisconsin

Provider Information

NPI Number: 1881809119
Entity Type: Individual
Name: MR. Kelly J Schultz, L.P.C,S.A.C.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: L.P.C,S.A.C.
Enumeration Date: May 11, 2007
Last Updated: Dec 23, 2015

Practice Location

Address: 540 COLLEGE AVE
City: Medford
State: Wisconsin
ZIP Code: 54451-2027
Phone: (715) 748-3332

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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