Individual
DOUGLAS SHAEFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
16643 STATE ROUTE 104 STE 1, CHILLICOTHE, OH 45601-9718
(740) 313-4133
(740) 772-1784
Mailing address
2100 STELLA CT, COLUMBUS, OH 43215-1011
(614) 252-8402
(614) 252-7987
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
090595
OH
Other
Enumeration date
01/09/2019
Last updated
01/09/2019
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