MEDICARE: MRS. KAREN IRENE SCHULTZ MA, LPC, NCC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	6401008182	MI

General Provider Information

NPI Number	:	1801012877
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KAREN IRENE SCHULTZ MA, LPC, NCC

Provider Business Mailing Address
First Line	:	238 THOUSAND OAKS DR
Second Line	:
City	:	TRAVERSE CITY
State	:	MI
Zip	:	49686-8285
Country	:	US
Telephone Number	:	231-935-4662
Fax Number	:

Provider Business Practice Location Address
First Line	:	238 THOUSAND OAKS DR
Second Line	:
City	:	TRAVERSE CITY
State	:	MI
Zip	:	49686-8285
Country	:	US
Telephone Number	:	231-935-4662
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/18/2007
Last Update Date	:	07/08/2007

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