TARA LEE SHEPHERD

ALTURAS, CA
NPI1023327715
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  03-079940)
Enumeration Date2010-09-29
Last Update Date2010-09-29
Business Address
-- TARA LEE SHEPHERD MA, CAS
441 N MAIN ST
ALTURAS, CA 96101-3457
Phone number: 530-233-6312
Mailing Address
-- TARA LEE SHEPHERD MA, CAS
441 N MAIN ST
ALTURAS, CA 96101-3457
Phone number: 530-233-6312