Provider Demographics
NPI:1871745216
Name:SCHILTZ, REBECCA JANE (LMFT)
Entity type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:JANE
Last Name:SCHILTZ
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1812 SUMNER AVE
Mailing Address - Street 2:SUITE I
Mailing Address - City:ABERDEEN
Mailing Address - State:WA
Mailing Address - Zip Code:98520-4602
Mailing Address - Country:US
Mailing Address - Phone:360-532-0060
Mailing Address - Fax:360-532-0061
Practice Address - Street 1:4007 BRIDGEPORT WAY W
Practice Address - Street 2:SUITE F-2
Practice Address - City:UNIVERSITY PLACE
Practice Address - State:WA
Practice Address - Zip Code:98466-4330
Practice Address - Country:US
Practice Address - Phone:253-565-2208
Practice Address - Fax:360-532-0061
Is Sole Proprietor?:No
Enumeration Date:2008-10-16
Last Update Date:2010-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF60102426106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist