Shafer, Jacqueline A
Shafer, Jacqueline A is an individual health care provider with primary practice located at 90 Hope Dr , Mountain Home Afb ID 83648-1057. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Shafer, Jacqueline A can be contacted via phone (208) 828-7531.Contact Information
Primary practice address
90 Hope Dr
Mountain Home Afb ID 83648-1057
Phone: (208) 828-7531
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCSW40964 | Idaho |
Profile Details
| NPI number | 1053819300 |
|---|---|
| LBN Legal business name | Shafer, Jacqueline A |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 31st, 2018 |
| Last updated | Nov 24th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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