Individual
EMILY SHAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
500 8TH AVE, TERRE HAUTE, IN 47804-4072
(812) 231-8376
Mailing address
PO BOX 4323, TERRE HAUTE, IN 47804-0323
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39002428A
IN
Other
Enumeration date
08/20/2010
Last updated
01/08/2013
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