Doctor Name: | RAE CENTANNI SHAFFNER |
NPI Number: | 1407252877 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | CSW.00002136 |
Business Practice Address: | 500 W Pacific Ave. Telluride, CO - 81435 |
Business Phone Number: | 9707283848 |
Business Fax Number: | 9707283404 |
Mailing Address: | Po Box 664, TELLURIDE |
State: | CO |
Postal Code: | 814350664 |
Phone Number: | 2255714404 |
Fax Number: | |
NPI Enumeration Date: | 11/13/2014 |
NPI Last Update Date: | 11/13/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | CSW.00002136 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |