MR. Anthony Mason Shepherd SR., PEER SUPPORT

NPI #1174495089 in Auburn, California

Provider Information

NPI Number: 1174495089
Entity Type: Individual
Name: MR. Anthony Mason Shepherd SR., PEER SUPPORT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Credential: PEER SUPPORT
Enumeration Date: Sep 19, 2025
Last Updated: Sep 19, 2025

Practice Location

Address: 11434 B AVE STE 200
City: Auburn
State: California
ZIP Code: 95603-2603
Phone: (530) 889-7247

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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