Individual
CONRAD SHULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
2 SCHOOL ST, PLYMOUTH, MA 02360-3964
(508) 830-1234
(508) 830-1191
Mailing address
21 ANNASNAPPITT DR, PLYMPTON, MA 02367-1718
(781) 585-3155
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
967
MA
Other
Enumeration date
11/29/2006
Last updated
07/08/2007
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