Individual
MRS. NANCY SHAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,CADC,MISA 1
Contact information
Practice address
121 E 2ND ST, BEARDSTOWN, IL 62618-1263
(217) 323-2980
(217) 323-3731
Mailing address
121 E 2ND ST, BEARDSTOWN, IL 62618-1263
(217) 323-2980
(217) 323-3731
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
04301
IL
Other
Enumeration date
01/25/2007
Last updated
07/08/2007
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