Provider Demographics
NPI:1700024700
Name:SHAFFER, JANICE (LPC)
Entity Type:Individual
Prefix:MS
First Name:JANICE
Middle Name:
Last Name:SHAFFER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1323 HARLOW LN
Mailing Address - Street 2:SUITE 3
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80537-4592
Mailing Address - Country:US
Mailing Address - Phone:970-377-3027
Mailing Address - Fax:
Practice Address - Street 1:1323 HARLOW LN
Practice Address - Street 2:SUITE 3
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80537-4592
Practice Address - Country:US
Practice Address - Phone:970-377-3027
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-29
Last Update Date:2009-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1892101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor