Provider Demographics
NPI:1730397506
Name:SCHUETZ, LEONORE CECILIA (MFT)
Entity type:Individual
Prefix:MRS
First Name:LEONORE
Middle Name:CECILIA
Last Name:SCHUETZ
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1720 E LOS ANGELES AVE
Mailing Address - Street 2:SUITE 222
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93065-2033
Mailing Address - Country:US
Mailing Address - Phone:805-522-8444
Mailing Address - Fax:805-522-8444
Practice Address - Street 1:1720 E LOS ANGELES AVE
Practice Address - Street 2:SUITE 222
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93065-2033
Practice Address - Country:US
Practice Address - Phone:805-522-8444
Practice Address - Fax:805-522-8444
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2008-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA43883106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist