| Doctor Name: | CORTNEY SHIFFERLY |
| NPI Number: | 1205191079 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPCI |
| License Number: | 68546 |
| Business Practice Address: | 902 S 5th St Carrizo Springs, TX - 788344206 |
| Business Phone Number: | 8308762611 |
| Business Fax Number: | 8308763079 |
| Mailing Address: | 902 S 5th St, CARRIZO SPRINGS |
| State: | TX |
| Postal Code: | 788344206 |
| Phone Number: | 8308762611 |
| Fax Number: | 8308763079 |
| NPI Enumeration Date: | 07/09/2012 |
| NPI Last Update Date: | 07/09/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 68546 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |