SHANE MICHAEL SHEPARD

DIAMOND SPRINGS, CA
NPI1588465157
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  20980)
Enumeration Date2025-03-20
Last Update Date2025-03-20
Business Address
SHANE MICHAEL SHEPARD SUDRC
484 PLEASANT VALLEY ROAD #4
DIAMOND SPRINGS, CA 95619-9561
Phone number: 530-344-7633
Mailing Address
SHANE MICHAEL SHEPARD SUDRC
484 PLESANT VALLEY RD. #4
DIAMOND SPRINGS, CA 95619
Phone number: 530-344-7633
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