MEDICARE: MR. JAMES SCOTT SCHAFFER M.S., LPCC, LICSW

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
1	101YP2500X	Professional Counselor	63	MN

General Provider Information

NPI Number	:	1972025997
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JAMES SCOTT SCHAFFER M.S., LPCC, LICSW

Provider Business Mailing Address
First Line	:	39 SKYLINE DR
Second Line	:
City	:	MANKATO
State	:	MN
Zip	:	56001-1926
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	108 S MINNESOTA AVE STE 120
Second Line	:
City	:	SAINT PETER
State	:	MN
Zip	:	56082-2557
Country	:	US
Telephone Number	:	507-934-6122
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2017
Last Update Date	:	07/11/2017

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