Ethan Alva Sheppard
NPI #1063370799 in San Luis Obispo, California
Provider Information
- NPI Number
- 1063370799
- Entity Type
- Individual
- Name
- Ethan Alva Sheppard
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Jan 12, 2026
- Last Updated
- Jan 12, 2026
Practice Location
- Address
- 2180 JOHNSON AVE
- City
- San Luis Obispo
- State
- California
- ZIP Code
- 93401-4558
- Phone
- (805) 781-4768
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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