| Doctor Name: | ELEANOR SHAFFAR |
| NPI Number: | 1831255181 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 473-132 |
| Business Practice Address: | 238 Front St Cashton, WI - 546192002 |
| Business Phone Number: | 6086545100 |
| Business Fax Number: | 6086545120 |
| Mailing Address: | 238 Front St, CASHTON |
| State: | WI |
| Postal Code: | 546192002 |
| Phone Number: | 6086545100 |
| Fax Number: | 6086545120 |
| NPI Enumeration Date: | 12/29/2006 |
| NPI Last Update Date: | 01/17/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 473-132 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |