NICHOLAS SHEPHERD

COLUMBUS, OH
NPI1053885939
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  162159)
Enumeration Date2019-01-14
Last Update Date2021-05-24
Business Address
NICHOLAS SHEPHERD LCDC III
4998 W BROAD ST STE 104
COLUMBUS, OH 43228-1647
Phone number: 614-754-8051
Mailing Address
NICHOLAS SHEPHERD LCDC III
4998 W BROAD ST STE 104
COLUMBUS, OH 43228-1647
Phone number: 614-754-8051