Individual provider · Type 1 NPI

Kathryn M. Shaffer, LPC

Professional Counselor · Bentonville, AR

NPI number 1073243085 Active

Practice location

1202 NE Mcclain Rd Bldg 7
Bentonville, AR 72712-3875

Call (479) 545-1545 Map

Mailing address

9274 Commonwealth Rd
Bentonville, AR 72712-8892

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XP2409007 (AR)
Mental Health Counselor 101YM0800XA2208014 (AR)
Case Manager/Care Coordinator 171M00000XNone listed

Professional Counselor: Definition to come...

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About NPI 1073243085

Kathryn M. Shaffer, LPC's National Provider Identifier is 1073243085, issued on Jun 13, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bentonville, AR. The record was last updated on Jun 23, 2026.