Provider Demographics
NPI:1700918778
Name:SCHULTZ, NANCY M (LCPC)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:M
Last Name:SCHULTZ
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7311 WILDWOOD DR
Mailing Address - Street 2:
Mailing Address - City:TAKOMA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20912-6928
Mailing Address - Country:US
Mailing Address - Phone:301-434-7090
Mailing Address - Fax:
Practice Address - Street 1:7311 WILDWOOD DR
Practice Address - Street 2:
Practice Address - City:TAKOMA PARK
Practice Address - State:MD
Practice Address - Zip Code:20912-6928
Practice Address - Country:US
Practice Address - Phone:301-434-7090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC0306101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health