Individual provider · Type 1 NPI

Cory Ian Shafer, LPC

Professional Counselor · Kingston, PA

NPI number 1124364229 Active

Practice location

675 Wyoming Ave
Kingston, PA 18704-3831

Call (570) 332-2093 Map

Mailing address

102 N Welles Ave
Kingston, PA 18704-5142

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XPC005347 (PA)

Professional Counselor: Definition to come...

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About NPI 1124364229

Cory Ian Shafer, LPC's National Provider Identifier is 1124364229, issued on Dec 17, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Kingston, PA. The record was last updated on Dec 23, 2015.