Individual provider · Type 1 NPI
Tisha Shepherd
Addiction (Substance Use Disorder) Counselor · Greenville, OH
NPI number
1760939896
Active
Practice location
600 Walnut St.
Greenville, OH 45331
Fax (937) 339-7816
Mailing address
719 E 3rd St
Greenville, OH 45331
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | CDCA.160820 (OH) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1760939896
Tisha Shepherd's National Provider Identifier is 1760939896, issued on Sep 7, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Greenville, OH. The record was last updated on Sep 7, 2016.