Individual provider · Type 1 NPI

Tony Sheppard

Mental Health Counselor · Jackson, MS

NPI number 1912303066 Active

Practice location

3450 Highway 80 W
Jackson, MS 39209-7201

Fax (601) 321-2476

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XPH2919 (MS)

Mental Health Counselor: Definition to come...

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About NPI 1912303066

Tony Sheppard's National Provider Identifier is 1912303066, issued on Nov 17, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jackson, MS. The record was last updated on Nov 17, 2014.