Provider Demographics
NPI:1063922789
Name:SCHULZE, AMY (MFTI)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:SCHULZE
Suffix:
Gender:F
Credentials:MFTI
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:
Other - Last Name:SCHULZE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:274 KINGSWOOD CT
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96003-2161
Mailing Address - Country:US
Mailing Address - Phone:530-227-0871
Mailing Address - Fax:
Practice Address - Street 1:1726 TEHAMA ST
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-1615
Practice Address - Country:US
Practice Address - Phone:530-710-8704
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-08
Last Update Date:2017-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA102439101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional