Individual
MRS. VICTORIA SUZANNE SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.C, L.A.D.C.
Contact information
Practice address
1101 E MONROE AVE, MCALESTER, OK 74501-4815
(918) 426-7844
(918) 426-5526
Mailing address
PO BOX 579, MCALESTER, OK 74502-0579
(918) 426-7844
(918) 426-5526
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
454
OK
101YP2500X
Professional Counselor
Primary
2342
OK
Other
Enumeration date
12/20/2006
Last updated
05/10/2010
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