Individual
RACHEL NICOLE SHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHA 2, CADC 2
Contact information
Practice address
820 SW CHURCH ST STE 100, DALLAS, OR 97338-3146
(503) 623-5226
(503) 623-5326
Mailing address
1350 SW ELLIS ST, DALLAS, OR 97338-2438
(503) 623-5226
(503) 623-5326
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
23-QMHA-II-000151
OR
171M00000X
Case Manager/Care Coordinator
Primary
23-QMHA-LL-000151
OR
175T00000X
Peer Specialist
—
—
Other
Enumeration date
02/01/2021
Last updated
02/10/2025
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