Individual
TIFFANY SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
600 OLD FRANKFORT CIR, LEXINGTON, KY 40510-9689
(859) 338-5941
Mailing address
600 OLD FRANKFORT CIR, LEXINGTON, KY 40510-9689
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
KY-1260
KY
Other
Enumeration date
04/21/2014
Last updated
04/21/2014
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