Individual provider · Type 1 NPI

Blair W. Shepard

Mental Health Counselor · Santa Fe, NM

NPI number 1023274388 Active

Practice location

5312 Jaguar Dr
Santa Fe, NM 87507-1827

Mailing address

303 Luna St SE
Los Lunas, NM 87031-9277

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X0121891 (NM)
Mental Health Counselor Primary 101YM0800X0119171 (NM)

Mental Health Counselor: Definition to come...

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About NPI 1023274388

Blair W. Shepard's National Provider Identifier is 1023274388, issued on Aug 5, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Santa Fe, NM. The record was last updated on Jul 29, 2009.