Provider Demographics
NPI:1326874041
Name:SHAFER, ASHLEE J (MS,NCC,CRC)
Entity type:Individual
Prefix:
First Name:ASHLEE
Middle Name:J
Last Name:SHAFER
Suffix:
Gender:
Credentials:MS,NCC,CRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:95 E HIGH ST STE 407
Mailing Address - Street 2:
Mailing Address - City:WAYNESBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15370-1853
Mailing Address - Country:US
Mailing Address - Phone:304-777-9117
Mailing Address - Fax:
Practice Address - Street 1:95 E HIGH ST STE 407
Practice Address - Street 2:
Practice Address - City:WAYNESBURG
Practice Address - State:PA
Practice Address - Zip Code:15370-1853
Practice Address - Country:US
Practice Address - Phone:304-777-9117
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-10
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional