Individual
JESSICA SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1823 BUSINESS PARK BLVD, DAYTONA BEACH, FL 32114-1230
(386) 254-1931
Mailing address
509 MOUNT OLYMPUS BLVD, NEW SMYRNA BEACH, FL 32168-2413
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/23/2018
Last updated
01/23/2018
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