person
Mr. Cory Ian Shafer, LPC
Professional Counselor in Kingston, Pennsylvania
NPI 1124364229

Cory Ian Shafer is a Professional Counselor based in Kingston, PA and is specialized in Professional. Cory Ian Shafer practices in Kingston, PA and has the professional credentials of LPC. The NPI Number for Cory Ian Shafer is 1124364229 and holds a License No. PC005347 (Pennsylvania).

The current practice location address for Cory Ian Shafer is 675 Wyoming Ave, Kingston, PA and can be reached out via phone at 570-332-2093.

Location: 675 Wyoming Ave, Kingston, PA, 18704-5142
person
Provider Profile Details
NPI Number
1124364229
Provider Name
Cory Ian Shafer
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
675 Wyoming Ave, Kingston, PA, 18704-5142
Phone Number
570-332-2093
Fax Number
Provider Enumeration Date
12/17/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
675 Wyoming Ave
City
State
Zip
18704-3831
Phone Number
570-332-2093
Fax Number
person
Provider Business Mailing Address Details
Address
675 Wyoming Ave
City
State
Zip
18704-3831
Phone Number
570-332-2093
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
PC005347 (Pennsylvania)
Definition
Definition to come...
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