Individual
MR. MONTY SHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
141 S MCCORMICK ST STE 100, PRESCOTT, AZ 86303-4730
(308) 627-4743
(928) 852-0804
Mailing address
2960 SPRUCE MOUNTAIN RD, PRESCOTT, AZ 86303-8104
(308) 627-6119
(928) 852-0804
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1219
NE
1041C0700X
Clinical Social Worker
Primary
21334
AZ
1041C0700X
Clinical Social Worker
9058
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026398900
—
NE
01
—
1219
LICENSED INDEPENDENT MENTAL HEALTH PRACTITIONER
NE
05
—
133519
—
AZ
01
—
1423
MASTER SOCIAL WORKER
NE
01
—
21334
LICENSED CLINICAL SOCIAL WORKER
AZ
01
—
21943
LICENSED PROFESSIONAL COUNSELOR
AZ
01
—
3971
MENTAL HEALTH PRACTITIONER
NE
Enumeration date
12/31/2009
Last updated
05/08/2025
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