Individual
KAITLIN S SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
2155 N STATE ROAD 9, LAGRANGE, IN 46761-8746
(260) 463-7144
Mailing address
PO BOX 817, KENDALLVILLE, IN 46755-0817
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39004738A
IN
Other
Enumeration date
11/16/2023
Last updated
11/16/2023
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