person
Tera Carlotta Shepard, RADT
Addiction (Substance Use Disorder) Counselor in Sun Valley, California
NPI 1063294940

Tera Carlotta Shepard is an Addiction (Substance Use Disorder) Counselor based in Porter Ranch, CA and is specialized in Addiction (Substance Use Disorder). Tera Carlotta Shepard practices in Sun Valley, CA and has the professional credentials of RADT. The NPI Number for Tera Carlotta Shepard is 1063294940 and holds a License No. R1433540621 (California).

The current practice location address for Tera Carlotta Shepard is 8140 Sunland Blvd, Sun Valley, CA and can be reached out via phone at 818-582-8832 and via fax at 818-582-8836.

Location: 8140 Sunland Blvd, Sun Valley, CA, 91326-4147
person
Provider Profile Details
NPI Number
1063294940
Provider Name
Tera Carlotta Shepard
Credential
RADT
Provider Entity Type
Individual
Gender
Female
Address
8140 Sunland Blvd, Sun Valley, CA, 91326-4147
Phone Number
818-582-8832
Fax Number
818-582-8836
Provider Enumeration Date
10/16/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8140 Sunland Blvd
City
State
Zip
91352-3948
Phone Number
818-582-8832
Fax Number
818-582-8836
person
Provider Business Mailing Address Details
Address
8140 Sunland Blvd
City
State
Zip
91352-3948
Phone Number
818-582-8832
Fax Number
818-582-8836
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
R1433540621 (California)
Definition
Definition to come...
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