Individual
MR. EUGENE D SHEPHERD JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6161 BUSCH BLVD STE 290, COLUMBUS, OH 43229-2587
(614) 987-5003
(614) 987-5167
Mailing address
3252 PAYDAY LN, COLUMBUS, OH 43232-7429
(614) 834-7922
(614) 987-5167
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
175T00000X
Peer Specialist
—
OH
Other
Enumeration date
08/25/2021
Last updated
11/03/2022
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