Individual
WILLIAM BRAD SHEPPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10900 S PENNSYLVANIA AVE APT 638, OKLAHOMA CITY, OK 73170-4247
(405) 520-4426
Mailing address
10900 S PENNSYLVANIA AVE APT 638, OKLAHOMA CITY, OK 73170-4247
(405) 520-4426
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
D003749152
OK
Other
Enumeration date
10/15/2015
Last updated
10/15/2015
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