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Cory Shafer, LPC
NPI 1124364229 · on the registry since 2012 · sole proprietor
Practice
- Address
- 675 Wyoming Ave
Kingston, PA 18704 - Phone
- (570) 332-2093
- Organisation at this address
- Mo Medical Management Inc.
Medical Profesional Service, Pc
Evolve Mental Health Services IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 10
Registry record
- Primary taxonomy
- Professional Counselor
101YP2500X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-12-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania