Provider Demographics
NPI:1760889174
Name:SHAFFER, AARON PHILLIP (MA, ALC)
Entity Type:Individual
Prefix:MR
First Name:AARON
Middle Name:PHILLIP
Last Name:SHAFFER
Suffix:
Gender:M
Credentials:MA, ALC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2402 ARROW WOOD DR SE
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35803-1337
Mailing Address - Country:US
Mailing Address - Phone:256-714-9191
Mailing Address - Fax:
Practice Address - Street 1:2313 STARMOUNT CIR SW
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-3817
Practice Address - Country:US
Practice Address - Phone:256-714-9191
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-01
Last Update Date:2022-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health