Kristopher Marshall Dean Shaffer | Lynchburg, VA • PECOS Search

Kristopher Marshall Dean Shaffer

Counselor

Behavioral Health & Social Service Providers

3410 Old Forest Rd, Lynchburg, VA 24501-2915

(434) 455-1000 (434) 382-8016

PECOS Enrollment

Based on the most recent information from CMS, provider Kristopher Marshall Dean Shaffer does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1326496803
Provider Type
Individual
Full Name
Shaffer, Kristopher Marshall Dean
Credential
LPC

Gender
Male
Sole Proprietor
Yes
Enumeration Date
5/25/2016
Last Updated
5/25/2016

Contact Information

Practice Location

3410 Old Forest Rd, Lynchburg, VA 24501-2915

Unlisted Fax

Mailing Location

1765 Waterlick Rd, Lynchburg, VA 24501-7229

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YP2500X Primary	Description Counselor Behavioral Health & Social Service Providers	License 0701006562 Virginia