Individual
LISA SCHULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 N WEST AVE, JACKSON, MI 49202-2179
(517) 240-1592
Mailing address
1200 N WEST AVE, JACKSON, MI 49202-2179
(517) 240-1592
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/08/2015
Last updated
03/03/2022
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