Individual provider · Type 1 NPI

Jacob Gregory Shaffer

Addiction (Substance Use Disorder) Counselor · Mankato, MN

NPI number 1922760842 Active

Practice location

201 N Broad St
Mankato, MN 56001-3585

Mailing address

1400 Warren St Apt H32
Mankato, MN 56001-6912

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X306194 (MN)

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

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About NPI 1922760842

Jacob Gregory Shaffer's National Provider Identifier is 1922760842, issued on Oct 7, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Mankato, MN. The record was last updated on Oct 7, 2021.