Individual
CHARLES DOUGLAS SHOAFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
3201 BELMONT ST, SUITE 211, BELLAIRE, OH 43906-1584
(740) 381-2577
Mailing address
3201 BELMONT ST, SUITE 211, BELLAIRE, OH 43906-1584
(740) 381-2577
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1507
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000570003
ANTHEM BLUE CROSS AND BLUE SHIELD
OH
Enumeration date
08/29/2007
Last updated
07/10/2008
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