Individual provider · Type 1 NPI

Larry James Shafer

Addiction (Substance Use Disorder) Counselor · Santa Maria, CA

NPI number 1174717706 Active

Practice location

115 E Fesler St
Santa Maria, CA 93454-4404

Call (805) 922-6597 Map

Mailing address

316 El Calle Jon
Santa Maria, CA 93454-4719

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1174717706

Larry James Shafer's National Provider Identifier is 1174717706, issued on Aug 27, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Santa Maria, CA. The record was last updated on Sep 4, 2007.