Individual provider · Type 1 NPI

Shannon Holcomb Shaffar, BA

Mental Health Counselor · Jackson, TN

NPI number 1770819310 Active

Practice location

24 Weatherford Sq
Jackson, TN 38305-2202

Fax (731) 984-6209

Mailing address

515 Proctor Rd
Henderson, TN 38340-3733

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1770819310

Shannon Holcomb Shaffar, BA's National Provider Identifier is 1770819310, issued on Nov 1, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jackson, TN. The record was last updated on Nov 1, 2009.