Individual
JUSTIN SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, LAC, MSW
Contact information
Practice address
1024 S LEMAY AVE, FORT COLLINS, CO 80524-3929
(970) 495-8020
(970) 495-7686
Mailing address
4856 INNOVATION DR STE B, FORT COLLINS, CO 80525-5540
(970) 494-4200
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD.0000347
CO
1041C0700X
Clinical Social Worker
Primary
CSW.09923153
CO
Other
Enumeration date
09/19/2013
Last updated
02/12/2020
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