Individual
MR. MICHAEL WAYNE SHAFFER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1700 E 38TH ST, MARION, IN 46953-4568
(765) 674-3321
(765) 677-5115
Mailing address
113 WALNUT DR, GAS CITY, IN 46933-1138
(765) 674-3321
(765) 677-5115
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20854
IL
1041C0700X
Clinical Social Worker
—
IL
Other
Enumeration date
05/08/2006
Last updated
09/11/2025
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