ERIK RAY SHAFFER

TEMPE, AZ
NPI1023185410
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ  10156)
Enumeration Date2006-11-29
Last Update Date2007-07-08
Business Address
Mr. ERIK RAY SHAFFER BS LISAC
1232 E BROADWAY RD 120
TEMPE, AZ 85282-1511
Phone number: 480-784-1514
Mailing Address
Mr. ERIK RAY SHAFFER BS LISAC
274 E LAREDO AVE
GILBERT, AZ 85296-1650
Phone number: 480-733-6992