Individual
MR. JERMAINE MAURICE SHEPPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
3947 LENNANE DR STE 110, SACRAMENTO, CA 95834-1971
(916) 283-8280
Mailing address
3947 LENNANE DR STE 110, SACRAMENTO, CA 95834-1971
(916) 283-8280
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
CA
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
10/04/2007
Last updated
05/01/2025
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