Individual
HEIDI BRIANNE SCHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APSW, SAC-IT
Contact information
Practice address
414 BROADWAY ST, SUITE 101, BARABOO, WI 53913-2488
(608) 402-4312
(608) 355-0459
Mailing address
414 BROADWAY ST, SUITE 101, BARABOO, WI 53913-2488
(608) 402-4312
(608) 355-0459
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
17798
WI
1041C0700X
Clinical Social Worker
Primary
130228
WI
Other
Enumeration date
01/31/2017
Last updated
01/31/2017
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