Individual
TERRY L SHAFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC-MHSP
Contact information
Practice address
7107 CROSSROADS BLVD, SUITE 106, BRENTWOOD, TN 37027-2805
(615) 516-0106
Mailing address
7107 CROSSROADS BLVD, SUITE 106, BRENTWOOD, TN 37027-2805
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC534
TN
Other
Enumeration date
04/06/2010
Last updated
04/06/2010
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