Individual
BEATRICE SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5253 HAUSERMAN RD APT 212, PARMA, OH 44130
(216) 233-3349
Mailing address
5253 HAUSERMAN RD APT 212, PARMA, OH 44130-1230
(216) 233-3349
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
07/16/2018
Last updated
08/17/2018
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