Provider Demographics
NPI:1609354257
Name:SHAFAR, BENJAMIN (LMHC)
Entity Type:Individual
Prefix:
First Name:BENJAMIN
Middle Name:
Last Name:SHAFAR
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:402 E YAKIMA AVE STE 800C
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98901-5407
Mailing Address - Country:US
Mailing Address - Phone:509-952-2420
Mailing Address - Fax:509-457-2756
Practice Address - Street 1:402 E YAKIMA AVE STE 800C
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98901-5407
Practice Address - Country:US
Practice Address - Phone:509-952-2420
Practice Address - Fax:509-457-2756
Is Sole Proprietor?:No
Enumeration Date:2018-08-04
Last Update Date:2022-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health