Tess Nicole Shafer
Tess Nicole Shafer is a Mental Health Counselor in Provo, Utah. Qualified in 2015, 11 years ago. Accepts Medicare assignment. Licensed in Utah.
- Years since qualifying
- 11
- Licensed in
- UT
- In the registry since
- 2015
Practice location Address checks out
750 N Freedom BlvdProvo, UT 84601-1677
Phone: (801) 373-4760
Fax: (801) 373-0639
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence 95329586004 (UT) |
|---|
Record details
| NPI number | 1437526886 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 1, 2015 |
| Last updated in NPPES | April 12, 2022 |
| Certification date | April 12, 2022 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2015 (11 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
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David Skiles, CMHC
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