Individual
MRS. CHRISTY DAWN SHEPPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
708 E. MAIN, SUITE B, ADA, OK 74820
(580) 436-6531
Mailing address
13598 CR 3520, ADA, OK 74820
(580) 421-5754
(580) 456-7168
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/15/2008
Last updated
09/15/2008
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