Individual
THOMAS S SCHULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
700 N WESTHAVEN DR, OSHKOSH, WI 54904-6947
(920) 303-8700
Mailing address
PO BOX 701, EAGLE RIVER, WI 54521-0701
(715) 479-1585
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2694
WI
101YP2500X
Professional Counselor
2694-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39769300
—
WI
Enumeration date
06/15/2007
Last updated
07/29/2024
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