Individual
AMY M SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
2901 PIGEON ROOST RD, RUSH, KY 41168-8132
(606) 928-6648
(606) 547-4359
Mailing address
5679 STATE ROUTE 207, WURTLAND, KY 41144-7439
(606) 928-6648
(606) 547-4359
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
103630
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30610026
—
KY
Enumeration date
09/05/2012
Last updated
01/16/2017
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