Provider Information for 1255857439
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Mr. BRIAN KEITH SHAFFER FT, LPC, NCC, ICAADC
Sex: Male
NPI: 1255857439
Last Updated: 2024-04-23
Certification Date: 2024-04-23
Certification Date: 2024-04-23
Details
| Name | Value | ||||||||||||||||||||
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| NPI | 1255857439 | ||||||||||||||||||||
| Enumeration Date | 2017-08-18 | ||||||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||||||
| Sole Proprietor | YES | ||||||||||||||||||||
| Status | Active | ||||||||||||||||||||
| Mailing Address | PO BOX 1420 CHAMBERSBURG, PA 17201-5420 United States Phone: 866-840-5286 | Fax: | ||||||||||||||||||||
| Primary Practice Address | 1953 ASHLEY DR CHAMBERSBURG, PA 17201-3932 United States Phone: 866-840-5286 | Fax:866-840-5286 | ||||||||||||||||||||
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