Individual provider · Type 1 NPI

Kelly Shafer

Addiction (Substance Use Disorder) Counselor · Wasilla, AK

NPI number 1639832967 Active

Practice location

7010 E Bogard Rd Bldg 2
Wasilla, AK 99654-4711

Call (907) 373-4732 Map

Fax (907) 746-4749

Mailing address

PO Box 876741
Wasilla, AK 99687-6741

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 1639832967

Kelly Shafer's National Provider Identifier is 1639832967, issued on Oct 13, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Wasilla, AK. The record was last updated on Oct 13, 2021.