Individual
MR. DOUGLAS DAMIEN SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAC-AD
Contact information
Practice address
821 N EUTAW ST, BALTIMORE, MD 21201-4648
(410) 225-5452
(410) 225-7964
Mailing address
821 N EUTAW ST, BALTIMORE, MD 21201-4648
(410) 225-5452
(410) 225-7964
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/24/2021
Last updated
04/10/2023
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