Individual provider · Type 1 NPI
Jessica Shultz
Professional Counselor · Fort Worth, TX
NPI number
1649176629
Active
Practice location
3109 Hale Ave
Fort Worth, TX 76106-6433
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 96847 (TX) |
Professional Counselor: Definition to come...
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About NPI 1649176629
Jessica Shultz's National Provider Identifier is 1649176629, issued on Oct 16, 2026. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fort Worth, TX. The record was last updated on Oct 16, 2026.