Individual
ANDREW SHEPHEARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC-T
Contact information
Practice address
227 THORN AVE, ORCHARD PARK, NY 14127-2600
(716) 882-4357
Mailing address
430 NIAGARA ST, BUFFALO, NY 14201-1886
(716) 883-5344
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NY
175T00000X
Peer Specialist
—
NY
Other
Enumeration date
02/04/2022
Last updated
03/19/2024
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