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1821302126
JESSICA SHEPHERD
SANTA ROSA, CA
NPI
1821302126
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-07-29
Last Update Date
2010-07-29
Business Address
-- JESSICA SHEPHERD
152 MIDDLE RINCON RD
SANTA ROSA, CA 95409-3409
Phone number: 707-571-2215
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Mailing Address
-- JESSICA SHEPHERD
PO BOX 2587
SANTA ROSA, CA 95405-0587
Phone number: 707-571-2215
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