Individual
ANDREA SCHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LADC
Contact information
Practice address
6043 HUDSON RD STE 220, WOODBURY, MN 55125-1033
(651) 925-8200
Mailing address
6043 HUDSON RD STE 220, WOODBURY, MN 55125-1033
(651) 925-8200
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
303267
MN
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
11/04/2020
Last updated
11/04/2020
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