Individual
DUSTY SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
206 S PROSPECT ST, MARION, OH 43302-3922
(740) 244-8850
Mailing address
4214 E MAIN ST, WHITEHALL, OH 43213-3028
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/30/2024
Last updated
04/30/2024
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