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Cody Allen Shepherd
Addiction (Substance Use Disorder) Counselor in Vista, California
NPI 1003563958

Cody Allen Shepherd is an Addiction (Substance Use Disorder) Counselor based in Vista, CA and is specialized in Addiction (Substance Use Disorder). Cody Allen Shepherd practices in Vista, CA. The NPI Number for Cody Allen Shepherd is 1003563958 and holds a License No. (California).

The current practice location address for Cody Allen Shepherd is 993 Postal Way, Vista, CA and can be reached out via phone at 760-630-9922.

Location: 993 Postal Way, Vista, CA, 92083-6945
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003563958
Provider Name
Cody Allen Shepherd
Credential
Provider Entity Type
Individual
Gender
Male
Address
993 Postal Way, Vista, CA, 92083-6945
Phone Number
760-630-9922
Fax Number
Provider Enumeration Date
03/09/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
993 Postal Way
City
Vista
State
California
Zip
92083-6945
Phone Number
760-630-9922
Fax Number
person
Provider Business Mailing Address Details
Address
993 Postal Way
City
Vista
State
California
Zip
92083-6945
Phone Number
760-630-9922
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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