Individual
PAMELA SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, CDCI
Contact information
Practice address
3600 SAN JERONIMO DR, ANCHORAGE, AK 99508-2870
(907) 793-3641
(907) 793-3250
Mailing address
3600 SAN JERONIMO DR, ANCHORAGE, AK 99508-2870
(907) 793-3641
(907) 793-3250
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/27/2012
Last updated
11/22/2019
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