DERRELL SHEPHERD

WAUKEGAN, IL
NPI1801772983
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2025-08-13
Last Update Date2025-08-13
Business Address
DERRELL SHEPHERD rsa
3010 GRAND AVE
WAUKEGAN, IL 60085-2321
Phone number: 847-691-3231
Mailing Address
DERRELL SHEPHERD rsa
3010 GRAND AVE
WAUKEGAN, IL 60085-2321
Phone number: 847-691-3231
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