Individual
PAYTON SHEPHERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
214 N CLAY AVE STE 215, KIRKWOOD, MO 63122-4068
(314) 852-0773
Mailing address
1969 HERITAGE FARMS DR, PACIFIC, MO 63069-3624
(314) 852-0773
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2022029630
MO
Other
Enumeration date
05/28/2025
Last updated
05/28/2025
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