| NPI | 1063999647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY SHEPHERD Licensed Professional Counselor 469-334-8353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 76085) |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2018-07-26 |