AUSTIN CHAD SHEPPARD

CLAREMORE, OK
NPI1790447092
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2021-10-13
Last Update Date2022-09-14
Business Address
AUSTIN CHAD SHEPPARD
3100 MEDICAL PKWY
CLAREMORE, OK 74017-1088
Phone number: 918-342-0770
Mailing Address
AUSTIN CHAD SHEPPARD
3100 MEDICAL PKWY
CLAREMORE, OK 74017-1088
Phone number: 918-342-0770