Jacob Gregory Shaffer
Jacob Gregory Shaffer is an Addiction (Substance Use Disorder) Counselor in Mankato, Minnesota. Licensed in Minnesota. Registered with an NPI since 2021.
- Licensed in
- MN
- In the registry since
- 2021
Practice location Address checks out
201 N Broad StMankato, MN 56001-3585
Phone: (507) 828-6332
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 306194 (MN) |
|---|
Record details
| NPI number | 1922760842 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 7, 2021 |
| Last updated in NPPES | October 7, 2021 |
| Certification date | October 7, 2021 |
| Mailing address | 1400 Warren St Apt H32, Mankato, MN 56001-6912 |
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