Individual
CARLY SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW, LCADC
Contact information
Practice address
221 RIVER STREET, 9TH FLOOR, HOBOKEN, NJ 07030
(646) 941-7645
(929) 596-7897
Mailing address
118 KIRKWOOD RD, GIBBSBORO, NJ 08026-1418
(856) 834-4469
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00385700
NJ
101YM0800X
Mental Health Counselor
44SL06815000
NJ
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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