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Individual

CHRISTIAN SHEPHERD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
830 EZZARD CHARLES DR, CINCINNATI, OH 45214-2525
(513) 381-6672
Mailing address
3421 CHEVIOT AVE, CINCINNATI, OH 45211-5605
(513) 390-5861

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.193584
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA193584
OH
106S00000X
Behavior Technician
OH

Other

Enumeration date
07/30/2024
Last updated
12/11/2025
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