Individual provider · Type 1 NPI
Conrad Shultz, LADC
Addiction (Substance Use Disorder) Counselor · Plymouth, MA
NPI number
1841367372
Active
Practice location
2 School St
Plymouth, MA 02360-3964
Fax (508) 830-1191
Mailing address
21 Annasnappitt Dr
Plympton, MA 02367-1718
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 967 (MA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1841367372
Conrad Shultz, LADC's National Provider Identifier is 1841367372, issued on Nov 29, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Plymouth, MA. The record was last updated on Jul 8, 2007.