Individual
CYNDI L SHEPHERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDCII
Contact information
Practice address
400 E STATE ST STE D, ATHENS, OH 45701-1870
(866) 534-2639
(800) 480-7578
Mailing address
900 GREEN DR, COSHOCTON, OH 43812-2454
(614) 984-1460
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDCII.162210
OH
171M00000X
Case Manager/Care Coordinator
CDCA.170777
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0426488
—
OH
Enumeration date
11/21/2020
Last updated
02/26/2026
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