Individual provider · Type 1 NPI

Glen Shepherd

Mental Health Counselor · Riverside, CA

NPI number 1972720217 Active

Practice location

1827 Atlanta Ave Ste D3
Riverside, CA 92507-7418

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1972720217

Glen Shepherd's National Provider Identifier is 1972720217, issued on Apr 19, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Riverside, CA. The record was last updated on Jul 8, 2007.