Provider Demographics
NPI:1902965072
Name:SCHULTZ-HESS, KAREN ELIZABETH (CSAC)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:ELIZABETH
Last Name:SCHULTZ-HESS
Suffix:
Gender:F
Credentials:CSAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1085
Mailing Address - Street 2:
Mailing Address - City:GREEN BAY
Mailing Address - State:WI
Mailing Address - Zip Code:54305-1085
Mailing Address - Country:US
Mailing Address - Phone:920-435-2093
Mailing Address - Fax:920-435-2580
Practice Address - Street 1:621 E WALNUT ST
Practice Address - Street 2:
Practice Address - City:GREEN BAY
Practice Address - State:WI
Practice Address - Zip Code:54301-4001
Practice Address - Country:US
Practice Address - Phone:920-435-2093
Practice Address - Fax:920-435-2580
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2025-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI12264101YA0400X
WI13915-132101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI39397900Medicaid