Individual
MR. ERIK RAY SHAFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS LISAC
Contact information
Practice address
1232 E BROADWAY RD, 120, TEMPE, AZ 85282-1511
(480) 784-1514
(480) 967-3528
Mailing address
274 E LAREDO AVE, GILBERT, AZ 85296-1650
(480) 733-6992
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10156
AZ
Other
Enumeration date
11/29/2006
Last updated
07/08/2007
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