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Thomas Shaffer, LCMHC-S
Professional Counselor in Winston Salem, North Carolina
NPI 1861789604

Thomas Shaffer is a Professional Counselor based in Winston Salem, NC and is specialized in Professional. Thomas Shaffer practices in Winston Salem, NC and has the professional credentials of LCMHC-S. The NPI Number for Thomas Shaffer is 1861789604 and holds a License No. 9580 (North Carolina).

The current practice location address for Thomas Shaffer is 1615 Polo Rd, Winston Salem, NC and can be reached out via phone at 336-722-7266.

Location: 1615 Polo Rd, Winston Salem, NC, 27101-5808
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861789604
Provider Name
Thomas Shaffer
Credential
LCMHC-S
Provider Entity Type
Individual
Gender
Male
Address
1615 Polo Rd, Winston Salem, NC, 27101-5808
Phone Number
336-722-7266
Fax Number
Provider Enumeration Date
06/30/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1615 Polo Rd
City
Winston Salem
State
North Carolina
Zip
27106-3831
Phone Number
336-722-7266
Fax Number
person
Provider Business Mailing Address Details
Address
1615 Polo Rd
City
Winston Salem
State
North Carolina
Zip
27106-3831
Phone Number
336-722-7266
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
9580 (North Carolina)
Definition
Definition to come...
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