Individual
BENJAMIN MICHAEL SHAFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFTA
Contact information
Practice address
2111 N 30TH ST, TACOMA, WA 98403-3318
(408) 315-7520
Mailing address
3905 N 10TH ST, TACOMA, WA 98406-5005
(408) 315-7520
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MG61129363
WA
Other
Enumeration date
07/13/2023
Last updated
07/14/2023
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