Individual provider · Type 1 NPI

Tera Carlotta Shepard, RADT

Addiction (Substance Use Disorder) Counselor · Sun Valley, CA

NPI number 1063294940 Active

Practice location

8140 Sunland Blvd
Sun Valley, CA 91352-3948

Fax (818) 582-8836

Mailing address

20518 Como Ln
Porter Ranch, CA 91326-4147

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1433540621 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1063294940

Tera Carlotta Shepard, RADT's National Provider Identifier is 1063294940, issued on Oct 16, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Sun Valley, CA. The record was last updated on Oct 16, 2023.