JASON DALE SHEPHERD

EDMOND, OK
NPI1972472827
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2025-10-30
Last Update Date2025-10-30
Business Address
JASON DALE SHEPHERD
525 LIBERTY LN
EDMOND, OK 73034-9046
Phone number: 405-726-8966
Mailing Address
JASON DALE SHEPHERD
3416 NW 19TH ST
OKLAHOMA CITY, OK 73107-3830
Phone number: 405-417-1457
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