Individual provider · Type 1 NPI

Jason Dale Shepherd

Mental Health Counselor · Edmond, OK

NPI number 1972472827 Active

Practice location

525 Liberty Ln
Edmond, OK 73034-9046

Mailing address

3416 NW 19th St
Oklahoma City, OK 73107-3830

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1972472827

Jason Dale Shepherd's National Provider Identifier is 1972472827, issued on Oct 30, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Edmond, OK. The record was last updated on Oct 30, 2025.