Provider Demographics
NPI:1245022508
Name:SCHULTZ, CATHLEEN ANN (MS, NCC)
Entity type:Individual
Prefix:
First Name:CATHLEEN
Middle Name:ANN
Last Name:SCHULTZ
Suffix:
Gender:F
Credentials:MS, NCC
Other - Prefix:
Other - First Name:CATHLEEN
Other - Middle Name:ANN
Other - Last Name:FOSS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS,NCC
Mailing Address - Street 1:582 MCKINLEY ST
Mailing Address - Street 2:
Mailing Address - City:BANGOR
Mailing Address - State:PA
Mailing Address - Zip Code:18013-1336
Mailing Address - Country:US
Mailing Address - Phone:201-230-7778
Mailing Address - Fax:
Practice Address - Street 1:480 PIERCE ST STE 108
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:PA
Practice Address - Zip Code:18704-5512
Practice Address - Country:US
Practice Address - Phone:570-855-8787
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-21
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor