Individual
STEPHANIE SPADE SCHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
715 PYLE DR, KINGSFORD, MI 49802-4456
(906) 774-0522
Mailing address
908 2ND ST, MENOMINEE, MI 49858-3245
(906) 864-9830
(906) 864-9831
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
17744-130
WI
101YM0800X
Mental Health Counselor
Primary
6401224129
MI
Other
Enumeration date
06/16/2016
Last updated
03/11/2024
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