Organization · Type 2 NPI

Barb Shepard Licensed Mental Health Counselor PLLC

Mental Health Counselor · Fayetteville, NY

NPI number 1053045005 Active

Practice location

7000 East Genesee Street, Building C
Fayetteville, NY 13066

Mailing address

134 Hathaway Rd
De Witt, NY 13214-1936

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1053045005

Barb Shepard Licensed Mental Health Counselor PLLC's National Provider Identifier is 1053045005, issued on Jul 14, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fayetteville, NY. The record was last updated on Jul 14, 2022.