Shultz, Monty

Shultz, Monty is an individual health care provider with primary practice located at 141 S Mccormick St Ste 100 , Prescott AZ 86303-4730. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Shultz, Monty can be contacted via phone (308) 627-4743.

Contact Information

Primary practice address
141 S Mccormick St Ste 100 Prescott AZ 86303-4730
Phone: (308) 627-4743
Fax: (928) 852-0804
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 9058 Nebraska
Behavioral Health & Social Service Providers / Clinical 1041C0700X 21334 Arizona
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 1219 Nebraska

Profile Details

NPI number 1558691279
LBN Legal business name Shultz, Monty
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 31st, 2009
Last updated Dec 8th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558691279 NPPES
Arizona Other 21943 LICENSED PROFESSIONAL COUNSELOR
Arizona MEDICAID 133519 LICENSED PROFESSIONAL COUNSELOR
Arizona Other 1219 LICENSED PROFESSIONAL COUNSELOR
Arizona MEDICAID 10026398900 LICENSED PROFESSIONAL COUNSELOR
Arizona Other 21334 LICENSED PROFESSIONAL COUNSELOR
Arizona Other 1423 LICENSED PROFESSIONAL COUNSELOR
Arizona Other 3971 LICENSED PROFESSIONAL COUNSELOR

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