Shane Michael Shepard, SUDRC
NPI #1588465157 in Diamond Springs, California
Provider Information
- NPI Number
- 1588465157
- Entity Type
- Individual
- Name
- Shane Michael Shepard, SUDRC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- SUDRC
- Enumeration Date
- Mar 20, 2025
- Last Updated
- Mar 20, 2025
Practice Location
- Address
- 484 PLEASANT VALLEY ROAD
- Address 2
- #4
- City
- Diamond Springs
- State
- California
- ZIP Code
- 95619-9561
- Phone
- (530) 344-7633
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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