TERA CARLOTTA SHEPARD

SUN VALLEY, CA
NPI1063294940
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1433540621)
Enumeration Date2023-10-16
Last Update Date2023-10-16
Business Address
TERA CARLOTTA SHEPARD RADT
8140 SUNLAND BLVD
SUN VALLEY, CA 91352-3948
Phone number: 818-582-8832
Mailing Address
TERA CARLOTTA SHEPARD RADT
20518 COMO LN
PORTER RANCH, CA 91326-4147
Phone number: 818-282-5641
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