Michael James Schult
Peer Specialist in Longview, WA. Individual provider (NPI-1).
NPI number1982186524
StatusActive
Last updated in NPPESAug 30, 2018
Details
- NPI
- 1982186524
- Entity type
- Individual (NPI-1)
- Name
- Michael James Schult
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 30, 2018
- Last updated
- Aug 30, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | CG60896317 | WA | Yes |
Practice location
748 14th AveLongview, WA 98632-2315
Phone 360-200-5419
Mailing address
748 14th AveLongview, WA 98632-2315
Phone 360-200-5419
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