CODY ELIAS SHEPARD

CARSON CITY, NV
NPI1386451730
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NV  07927-I)
Enumeration Date2024-12-18
Last Update Date2024-12-18
Business Address
CODY ELIAS SHEPARD
119 E LONG ST
CARSON CITY, NV 89706-2505
Phone number: 775-461-0025
Mailing Address
CODY ELIAS SHEPARD
119 E LONG ST
CARSON CITY, NV 89706-2505
Phone number: 754-610-0257