MR. Cory Ian Shafer, LPC
NPI #1124364229 in Kingston, Pennsylvania
Provider Information
- NPI Number
- 1124364229
- Entity Type
- Individual
- Name
- MR. Cory Ian Shafer, LPC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- LPC
- Enumeration Date
- Dec 17, 2012
- Last Updated
- Dec 23, 2015
Practice Location
- Address
- 675 WYOMING AVE
- City
- Kingston
- State
- Pennsylvania
- ZIP Code
- 18704-3831
- Phone
- (570) 332-2093
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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