Provider Demographics
NPI:1801012877
Name:SCHULTZ, KAREN IRENE (MA, LPC, NCC)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:IRENE
Last Name:SCHULTZ
Suffix:
Gender:F
Credentials:MA, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:238 THOUSAND OAKS DR
Mailing Address - Street 2:
Mailing Address - City:TRAVERSE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49686-8285
Mailing Address - Country:US
Mailing Address - Phone:231-935-4662
Mailing Address - Fax:
Practice Address - Street 1:238 THOUSAND OAKS DR
Practice Address - Street 2:
Practice Address - City:TRAVERSE CITY
Practice Address - State:MI
Practice Address - Zip Code:49686-8285
Practice Address - Country:US
Practice Address - Phone:231-935-4662
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401008182101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health