Individual
SCOTT A SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HUMAN SERVICES COORD
Contact information
Practice address
403 STONEY LANDING ROAD, MONCKS CORNER, SC 29461-3967
(843) 761-8282
(843) 761-7308
Mailing address
403 STONEY LANDING ROAD, MONCKS CORNER, SC 29461-3967
(843) 761-8282
(843) 761-7308
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
00082652
NC
101YM0800X
Mental Health Counselor
7367
NC
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6005782
—
NC
Enumeration date
07/29/2009
Last updated
01/13/2011
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