| Mr Gerald Shepard, CACI | |
|
180 Water Oak Dr, Cedartown, GA 30125-2095 | |
| (770) 748-2225 | |
| Not Available |
| Full Name | Mr Gerald Shepard |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 180 Water Oak Dr, Cedartown, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184099947 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 3114 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Gerald Shepard, CACI 269 Kiker St, Tallapoosa, GA 30176-1340 Ph: (404) 809-7139 | Mr Gerald Shepard, CACI 180 Water Oak Dr, Cedartown, GA 30125-2095 Ph: (770) 748-2225 |
Mrs. Cathy Puckett, Counselor Medicare: Not Enrolled in Medicare Practice Location: 180 Water Oak Dr, Cedartown, GA 30125 Phone: 770-748-2225 Fax: 770-749-0939 | |
Toni-marie Bryan, LAPC, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 740 Fletcher St, Cedartown, GA 30125 Phone: 770-748-1500 | |
Mrs. Deanna Ruth Dennis, LPC Counselor Medicare: Medicare Enrolled Practice Location: 180 Wateroak Drive, Cedartown, GA 30125 Phone: 706-748-2225 Fax: 706-749-0939 | |
Patti Williams, Counselor Medicare: Not Enrolled in Medicare Practice Location: 180 Water Oak Dr, Cedartown, GA 30125 Phone: 770-748-2225 Fax: 770-749-4418 | |
Chase Tarleton, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 740 Fletcher St, Cedartown, GA 30125 Phone: 770-748-1500 | |
Jessica Wingo Leatherwood, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 62 Coaling Rd, Cedartown, GA 30125 Phone: 770-842-7172 |