Individual
MR. JEFFREY H SCHULZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, CSAC, ICS
Contact information
Practice address
2405 NORTHWESTERN AVE, RACINE, WI 53404-2534
(262) 898-3377
(262) 898-3378
Mailing address
690 THIRD STREET, BELOIT, WI 53512-0898
(262) 898-3377
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2053-132
WI
101YM0800X
Mental Health Counselor
4025-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39371100
—
WI
Enumeration date
08/24/2006
Last updated
05/03/2013
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