Provider Demographics
NPI:1396918975
Name:SCHULTZ, ASHLEIGH VERONIQUE (MACP)
Entity type:Individual
Prefix:MRS
First Name:ASHLEIGH
Middle Name:VERONIQUE
Last Name:SCHULTZ
Suffix:
Gender:F
Credentials:MACP
Other - Prefix:
Other - First Name:ASHLEIGH
Other - Middle Name:
Other - Last Name:NOLMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:216 NE 175TH STREET
Mailing Address - Street 2:
Mailing Address - City:SHORELINE
Mailing Address - State:WA
Mailing Address - Zip Code:98155
Mailing Address - Country:US
Mailing Address - Phone:425-770-2630
Mailing Address - Fax:
Practice Address - Street 1:216 NE 175TH STREET
Practice Address - Street 2:
Practice Address - City:SHORELINE
Practice Address - State:WA
Practice Address - Zip Code:98155
Practice Address - Country:US
Practice Address - Phone:425-770-2630
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-04
Last Update Date:2008-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARC00053194101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor