Individual provider · Type 1 NPI

Jackie Shepherd

Mental Health Counselor · Vallejo, CA

NPI number 1881896181 Active

Practice location

2201 Tuolumne St
Vallejo, CA 94589-2524

Call (707) 558-1777 Map

Fax (707) 558-1770

Mailing address

260 American Canyon Rd Spc 62
American Canyon, CA 94503-3017

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1881896181

Jackie Shepherd's National Provider Identifier is 1881896181, issued on May 31, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Vallejo, CA. The record was last updated on Dec 3, 2008.