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NPI Code Detail

MEDICARE: ANNETTE SHAEFFER MS, LPC

MEDICARE: ANNETTE SHAEFFER MS, LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor

General Provider Information

NPI Number : 1316278112
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNETTE SHAEFFER MS, LPC
Provider Business Mailing Address
First Line : 903 W OSAGE ST
Second Line :
City : CLEVELAND
State : OK
Zip : 74020-4219
Country : US
Telephone Number : 918-261-1129
Fax Number :
Provider Business Practice Location Address
First Line : 901 W CADDO ST
Second Line :
City : CLEVELAND
State : OK
Zip : 74020-4201
Country : US
Telephone Number : 918-261-1129
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2010
Last Update Date : 07/05/2011

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