Individual
JACQUELINE SHAFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
834 PRINCE AVE, ATHENS, GA 30606-2724
(724) 944-4680
Mailing address
1610 HOLLOW TREE DR, PITTSBURGH, PA 15241-2961
(724) 944-4680
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC010649
GA
101YP2500X
Professional Counselor
PC013098
PA
Other
Enumeration date
07/18/2016
Last updated
05/03/2021
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