Individual
LINDA L SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, ED.S, LCAS
Contact information
Practice address
824 S DEKALB ST, SHELBY, NC 28150-6182
(704) 482-2460
Mailing address
221 S LAFAYETTE ST APT 11, SHELBY, NC 28150-5485
(704) 482-2460
(704) 487-5950
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2155
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2155
NC LICENSE
NC
Enumeration date
09/25/2012
Last updated
09/25/2012
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