Individual
MRS. MARIAN R SCHULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
6060 PORTAL WAY, FERNDALE, WA 98248-7833
(360) 676-6177
(360) 671-3574
Mailing address
1616 CORNWALL AVE STE 205, BELLINGHAM, WA 98225-4642
(360) 676-6177
(360) 671-3754
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
149.012346
IL
101YM0800X
Mental Health Counselor
LW00004371
WA
1041C0700X
Clinical Social Worker
Primary
LW00004371
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010016208
REGENCE BCBS
ID
05
—
002788200
—
ID
01
—
2233222
BLUE CROSS BLUE SHIELD
IL
Enumeration date
01/20/2006
Last updated
07/10/2019
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