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Individual
MR. PAUL R SHAFFER
Active
Individual
MR. PAUL R SHAFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LCMHC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
610
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1108Y
BLUE CROSS/BLUESHIELD
NC
Enumeration date
08/20/2006
Last updated
03/15/2022
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