Individual
MR. MARK GREGORY SHEPPARD I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.C.D.C
Contact information
Practice address
3131 CUSTER RD, 265, PLANO, TX 75075-4419
(972) 985-7565
(888) 664-0571
Mailing address
3131 CUSTER RD, 265, PLANO, TX 75075-4419
(972) 985-7565
(888) 664-0571
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
9006
TX
Other
Enumeration date
07/16/2008
Last updated
07/16/2008
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