Organization
SHAFFER COUNSELING & CONSULTING
Active
Other names
Sandra Shaffer
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA MARIE SHAFFER (THERAPIST/OWNER)
(920) 896-0189
Entity
Organization
Contact information
Practice address
3475 OMRO RD STE 400, OSHKOSH, WI 54904-7126
(920) 203-7565
Mailing address
303 WATSON ST STE D, RIPON, WI 54971-1516
(920) 896-0189
(920) 239-6021
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100102138
—
WI
01
—
1184230351
NPI-TYPE 2
WI
01
—
12349916
CAQH
—
01
—
1427228436
NPI
WI
Enumeration date
09/22/2020
Last updated
11/10/2020
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