Individual
RICKY LEE SHEPPARD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PRSS
Contact information
Practice address
624 10TH ST, HUNTINGTON, WV 25701-2322
(304) 523-0293
Mailing address
624 10TH ST, HUNTINGTON, WV 25701-2322
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
25-991SUD
WV
Other
Enumeration date
07/10/2025
Last updated
07/10/2025
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