Individual
MS. DEBORAH K. SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, QSUDP
Contact information
Practice address
9196 W BARNES DR, BOISE, ID 83709-1552
(208) 433-0400
(208) 433-5271
Mailing address
9196 W BARNES DR, BOISE, ID 83709-1552
(208) 433-0400
(208) 433-5271
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LMSW32394
ID
101YM0800X
Mental Health Counselor
LMSW32394
ID
Other
Enumeration date
08/23/2013
Last updated
08/23/2013
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