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Jacob Gregory Shaffer
Addiction (Substance Use Disorder) Counselor in Mankato, Minnesota
NPI 1922760842

Jacob Gregory Shaffer is an Addiction (Substance Use Disorder) Counselor based in Mankato, MN and is specialized in Addiction (Substance Use Disorder). Jacob Gregory Shaffer practices in Mankato, MN. The NPI Number for Jacob Gregory Shaffer is 1922760842 and holds a License No. 306194 (Minnesota).

The current practice location address for Jacob Gregory Shaffer is 201 N Broad St, Mankato, MN and can be reached out via phone at 507-828-6332.

Location: 201 N Broad St, Mankato, MN, 56001-6912
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922760842
Provider Name
Jacob Gregory Shaffer
Credential
Provider Entity Type
Individual
Gender
Male
Address
201 N Broad St, Mankato, MN, 56001-6912
Phone Number
507-828-6332
Fax Number
Provider Enumeration Date
10/07/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
201 N Broad St
City
Mankato
State
Minnesota
Zip
56001-3585
Phone Number
507-828-6332
Fax Number
person
Provider Business Mailing Address Details
Address
201 N Broad St
City
Mankato
State
Minnesota
Zip
56001-3585
Phone Number
507-828-6332
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
306194 (Minnesota)
Definition
Definition to come...
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