Individual
MS. MARISA N SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
899 MAIN ST, BUFFALO, NY 14203-1109
(716) 842-0440
Mailing address
899 MAIN ST, BUFFALO, NY 14203-1109
(716) 842-0440
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20828
NY
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Enumeration date
06/03/2008
Last updated
02/17/2025
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