Individual provider · Type 1 NPI
George Fredrick Shafer Jr.
Peer Specialist · Edmond, OK
NPI number
1700399714
Active
Practice location
12250 S Kelly Ave
Edmond, OK 73025-1903
Mailing address
10710 Deer Path Rd
Edmond, OK 73025-5815
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | None listed |
Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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About NPI 1700399714
George Fredrick Shafer Jr.'s National Provider Identifier is 1700399714, issued on Nov 13, 2017. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Edmond, OK. The record was last updated on Nov 13, 2017.