Individual
ANNA MARIE STULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDCA, QMHS
Contact information
Practice address
126 E 2ND ST STE 3, CHILLICOTHE, OH 45601-2593
(740) 851-5307
(740) 851-5307
Mailing address
17 WILLOW CREEK RD, CHILLICOTHE, OH 45601-7838
(740) 656-3248
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
162971
OH
374U00000X
Home Health Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3103402
PROVIDER NUMBER
OH
Enumeration date
07/24/2014
Last updated
03/17/2018
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