# SHELLEY ANN SHAFFER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Shaffer Professional Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275147266
- **Authorized official:** SHELLEY A SHAFFER (OWNER)
- **Authorized official phone:** (218) 380-0175

## Contact information

- **Practice address:** 501 ARROWHEAD LN, MOOSE LAKE, MN 55767-7707
- **Practice address phone:** (218) 380-0175
- **Practice address fax:** (218) 485-9105
- **Mailing address:** PO BOX 463, MOOSE LAKE, MN 55767-0463
- **Mailing address phone:** (218) 380-0175
- **Mailing address fax:** (218) 485-9105

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |

## Other

- **Enumeration date:** 09/07/2020
- **Last updated:** 03/01/2021