Organization
ACCESS 304
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY SHEPARD (EXECUTIVE DIRECTOR)
(571) 205-3805
Entity
Organization
Contact information
Practice address
207 S PRINCESS ST, SHEPHERDSTOWN, WV 25443-1581
(681) 900-3002
(304) 974-0405
Mailing address
PO BOX 1402, SHEPHERDSTOWN, WV 25443-1402
(681) 900-3002
(304) 974-0405
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/18/2024
Last updated
04/18/2024
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