Individual
ROSALINDA SHEPPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10406 INDIANA AVE APT 159, RIVERSIDE, CA 92503-5398
(909) 438-4212
Mailing address
10406 INDIANA AVE APT 159, RIVERSIDE, CA 92503-5398
(909) 438-4212
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
08/10/2015
Last updated
02/27/2023
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