| Barb Shepard Licensed Mental Health Counselor Pllc | |
|
7000 East Genesee Street Building C Fayetteville NY 13066 | |
| (315) 313-4075 | |
| Not Available |
| Full Name | Barb Shepard Licensed Mental Health Counselor Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 7000 East Genesee Street, Fayetteville, New York |
| Authorized Official Name and Position | Barbara Shepard (OWNER) |
| Authorized Official Contact | 3153134075 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Barb Shepard Licensed Mental Health Counselor Pllc 134 Hathaway Rd De Witt NY 13214-1936 Ph: (131) 548-1639 | Barb Shepard Licensed Mental Health Counselor Pllc 7000 East Genesee Street Building C Fayetteville NY 13066 Ph: (315) 313-4075 |
| NPI Number | 1053045005 |
|---|---|
| Provider Enumeration Date | 07/14/2022 |
| Last Update Date | 07/14/2022 |
| Certification Date | 07/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053045005 | NPI | - | NPPES |
| 008001 | Other | NY | NEW YORK STATE OFFICE OF THE PROFESSIONS (LICENSE NUMBER) |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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