Individual
JOSEPH CLAIR SHAFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4144 E AMITY AVE, NAMPA, ID 83687-8802
(208) 926-2700
Mailing address
4144 E AMITY AVE, NAMPA, ID 83687-8802
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-9100
ID
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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