| Evan M Shepherd, LICDC, LPC | |
|
700 Park Ave, Ironton, OH 45638-1502 | |
| (740) 532-1613 | |
| (740) 879-0599 |
| Full Name | Evan M Shepherd |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 700 Park Ave, Ironton, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861055071 | NPI | - | NPPES |
| 0368213 | Medicaid | OH |
| Entity Name | Mended Reeds Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407261977 PECOS PAC ID: 5092013987 Enrollment ID: O20171204002429 |
| Mailing Address | Practice Location Address |
|---|---|
| Evan M Shepherd, LICDC, LPC Po Box 108, Ironton, OH 45638-0108 Ph: (740) 532-1613 | Evan M Shepherd, LICDC, LPC 700 Park Ave, Ironton, OH 45638-1502 Ph: (740) 532-1613 |
Randy Wayne Cable Ii, LISW, LICDC, PRS Counselor Medicare: Not Enrolled in Medicare Practice Location: 117 N 4th St, Ironton, OH 45638 Phone: 740-237-4981 | |
Andrew T Finley, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 322 Spruce St, Ironton, OH 45638 Phone: 740-533-9850 | |
Joseph S Morris, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 214 S 4th St, Ironton, OH 45638 Phone: 740-532-3767 Fax: 740-532-3385 | |
Jennifer Malone, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1007 N 2nd St, Ironton, OH 45638 Phone: 740-442-7045 Fax: 740-442-7046 | |
Chase Lewis, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1724 S 3rd St, Ironton, OH 45638 Phone: 740-442-7143 | |
Tierra Troxler, Counselor Medicare: Not Enrolled in Medicare Practice Location: 804 Mastin Ave, Ironton, OH 45638 Phone: 740-307-6407 | |
Audra Martin, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 700 Park Ave, Ironton, OH 45638 Phone: 740-532-1613 |