Individual
JEFFERY ALLEN SHEPHERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1628 SPRINGFIELD ST, DAYTON, OH 45403-1430
(937) 802-5440
Mailing address
827 MCKAIG AVE, TROY, OH 45373-2951
(937) 668-6723
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/26/2021
Last updated
08/26/2021
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