JESSICA SHEPHERD

SANTA ROSA, CA
NPI1821302126
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2010-07-29
Last Update Date2010-07-29
Business Address
-- JESSICA SHEPHERD
152 MIDDLE RINCON RD
SANTA ROSA, CA 95409-3409
Phone number: 707-571-2215
Mailing Address
-- JESSICA SHEPHERD
PO BOX 2587
SANTA ROSA, CA 95405-0587
Phone number: 707-571-2215