Individual
CONNIE ANN SCHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LICSW
Contact information
Practice address
12533 355TH ST, AVON, MN 56310-8736
(320) 363-8877
(320) 363-8821
Mailing address
12533 355TH ST, AVON, MN 56310-8736
(320) 363-8877
(320) 363-8821
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6485LICSW
MN
1041C0700X
Clinical Social Worker
6485LICSW
MN
106H00000X
Marriage & Family Therapist
Primary
6485LICSW
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
434M1SC
BLUE CROSS BLUE SHIELD
MN
01
—
434M2SC
BLUE CROSS BLUE SHIELD
MN
01
—
6203572
MEDICA/UBH
MN
01
—
HP27100
HEALTH PARTNERS
MN
Enumeration date
10/11/2006
Last updated
09/11/2025
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