Provider Demographics
NPI:1346462009
Name:SCHULTZ, ELISABETH LOUISE (MFT)
Entity Type:Individual
Prefix:
First Name:ELISABETH
Middle Name:LOUISE
Last Name:SCHULTZ
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3807
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95927-3807
Mailing Address - Country:US
Mailing Address - Phone:530-345-3609
Mailing Address - Fax:530-345-3534
Practice Address - Street 1:1370 RIDGEWOOD DR
Practice Address - Street 2:STE 9
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95973-7803
Practice Address - Country:US
Practice Address - Phone:530-345-3609
Practice Address - Fax:530-345-3534
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC32440106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist