TONY SHEPPARD

JACKSON, MS
NPI1912303066
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: MS  PH2919)
Enumeration Date2014-11-17
Last Update Date2014-11-17
Business Address
-- TONY SHEPPARD
3450 HIGHWAY 80 W
JACKSON, MS 39209-7201
Phone number: 601-321-2400
Mailing Address
-- TONY SHEPPARD
3450 HIGHWAY 80 W
JACKSON, MS 39209-7201
Phone number: 601-321-2400