Individual
BRNT SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PCC
Contact information
Practice address
151 MARION AVE, MANSFIELD, OH 44903-2223
(419) 774-9969
(419) 756-5642
Mailing address
151 MARION AVE, MANSFIELD, OH 44903-2223
(419) 774-9969
(419) 756-5642
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E0500030
OH
Other
Enumeration date
10/25/2010
Last updated
10/25/2010
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