Individual
BARBARA E SHEPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
6 N WEST ST STE 5, HOMER, NY 13077-1068
(585) 813-5819
Mailing address
616 ULSTER ST, SYRACUSE, NY 13204-1843
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
008001
NY
Other
Enumeration date
07/24/2018
Last updated
07/24/2018
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