Individual provider · Type 1 NPI
Derrick Eugene Shepherd
Mental Health Counselor · Richvale, CA
NPI number
1639711310
Active
Practice location
1229 Broadway St
Richvale, CA 95974
Fax (530) 894-5791
Mailing address
350 Main St
Quincy, CA 95971
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
10 other providers at this address
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About NPI 1639711310
Derrick Eugene Shepherd's National Provider Identifier is 1639711310, issued on Oct 14, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Richvale, CA. The record was last updated on Jan 14, 2021.