GLEN SHEPHERD

RIVERSIDE, CA
NPI1972720217
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2007-04-19
Last Update Date2007-07-08
Business Address
-- GLEN SHEPHERD
1827 ATLANTA AVE STE D3
RIVERSIDE, CA 92507-7418
Phone number: 951-955-8000
Mailing Address
-- GLEN SHEPHERD
1827 ATLANTA AVE STE D3
RIVERSIDE, CA 92507-7418
Phone number: