Individual
MS. BRENDA LEE KETTNER SCHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSE, NCC, RADCI
Contact information
Practice address
209 PRENTICE ST N, STEVENS POINT, WI 54481-1162
(715) 343-3347
(715) 344-8127
Mailing address
209 PRENTICE ST N, STEVENS POINT, WI 54481-1162
(715) 343-3347
(715) 344-8127
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
204852 CERTIFICATION
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13594
WI CERT BOARD, RADCI
WI
Enumeration date
09/25/2006
Last updated
07/08/2007
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