Individual
DR. JANICE HAUSER SCHULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD, LPC
Contact information
Practice address
720 N MAIN ST STE 240, PUEBLO, CO 81003-3046
(719) 250-5888
(855) 775-0361
Mailing address
1507 WABASH AVE, PUEBLO, CO 81004-3345
(719) 250-5888
(855) 775-0361
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1421
CO
103T00000X
Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
068103
—
CO
05
—
9000149674
—
CO
Enumeration date
11/15/2006
Last updated
03/04/2024
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