Provider Demographics
NPI:1275654279
Name:SHUFELT, BOBBIANN (LPC, LAC)
Entity Type:Individual
Prefix:MRS
First Name:BOBBIANN
Middle Name:
Last Name:SHUFELT
Suffix:
Gender:F
Credentials:LPC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:237 ARCHDALE DR
Mailing Address - Street 2:
Mailing Address - City:AIKEN
Mailing Address - State:SC
Mailing Address - Zip Code:29803-8552
Mailing Address - Country:US
Mailing Address - Phone:908-249-3989
Mailing Address - Fax:
Practice Address - Street 1:237 ARCHDALE DR
Practice Address - Street 2:
Practice Address - City:AIKEN
Practice Address - State:SC
Practice Address - Zip Code:29803-8552
Practice Address - Country:US
Practice Address - Phone:908-249-3989
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2022-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00003100101YP2500X
SCLAC814AC101YA0400X
SC7418101YP2500X
NJ37LC00044600101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional