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Individual

JUSTIN SCOTT SCHULTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1601 E 4TH PLAIN BLVD # A212, VANCOUVER, WA 98661-3713
(360) 397-8246
Mailing address
2427 E 16TH ST, VANCOUVER, WA 98661-4056
(509) 879-9507

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YP2500X
Professional Counselor
Primary
LH60961407
WA

Other

Enumeration date
07/14/2017
Last updated
03/11/2020
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