Individual
KIRK SHEPPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
8118 CORPORATE WAY STE 175, MASON, OH 45040-7504
(513) 536-8353
Mailing address
208 8TH AVE APT 209, DAYTON, KY 41074-1452
(513) 536-8353
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
39001804A
IN
101YP2500X
Professional Counselor
Primary
E.0700338-SUPV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000492477
BLUE SHIELD
IN
Enumeration date
01/22/2007
Last updated
10/02/2025
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