Rebecca Ellen Shaffer
Counselor, Mental Health in Raleigh, NC. Individual provider (NPI-1).
NPI number1043880974
StatusActive
Last updated in NPPESOct 18, 2021
Details
- NPI
- 1043880974
- Entity type
- Individual (NPI-1)
- Name
- Rebecca Ellen Shaffer
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 1, 2021
- Certification date
- Oct 18, 2021
- Last updated
- Oct 18, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Other names
- Rebecca Laviska (Other Name)
Practice location
6604 Six Forks Rd Ste 101Raleigh, NC 27615-6521
Phone 984-235-2545
Mailing address
4500 Manor Village Way Apt 216Raleigh, NC 27612-3657
Phone 919-210-5774
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