Individual
BRIAN SHEPHERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
1415 SUMMER GLEN DR, HARKER HEIGHTS, TX 76548-8807
(520) 955-3419
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
13143
TX
101YP2500X
Professional Counselor
Primary
73963
TX
Other
Enumeration date
04/23/2016
Last updated
07/08/2025
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