Individual
MISS AUBRA COURTNEY SHEPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., IAADC
Contact information
Practice address
1409 CLARK ST, DES MOINES, IA 50314-1964
(515) 643-6505
Mailing address
1409 CLARK ST, DES MOINES, IA 50314-1964
(515) 643-6505
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11010
IA
Other
Enumeration date
05/20/2012
Last updated
05/20/2012
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