Individual
SHELLEY A SHAFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPCC
Contact information
Practice address
34079 LAKETOWN RD STE 4, STURGEON LAKE, MN 55783-5006
(218) 380-0175
(218) 485-9105
Mailing address
PO BOX 463, MOOSE LAKE, MN 55767-0463
(218) 380-0175
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
651
MN
Other
Enumeration date
08/20/2018
Last updated
10/16/2024
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