DUSTIN SHEPHERD

WAVERLY, OH
NPI1528568532
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  141595)
Enumeration Date2018-02-16
Last Update Date2018-02-16
Business Address
DUSTIN SHEPHERD
14574 US HIGHWAY 23
WAVERLY, OH 45690-9373
Phone number: 740-912-9126
Mailing Address
DUSTIN SHEPHERD
5507 BEAVER PIKE
BEAVER, OH 45613-9701
Phone number: