person
Mr. Gerald Shepard, CACI
Addiction (Substance Use Disorder) Counselor in Cedartown, Georgia
NPI 1184099947

Gerald Shepard is an Addiction (Substance Use Disorder) Counselor based in Tallapoosa, GA and is specialized in Addiction (Substance Use Disorder). Gerald Shepard practices in Cedartown, GA and has the professional credentials of CACI. The NPI Number for Gerald Shepard is 1184099947 and holds a License No. 3114 (Georgia).

The current practice location address for Gerald Shepard is 180 Water Oak Dr, Cedartown, GA and can be reached out via phone at 770-748-2225.

Location: 180 Water Oak Dr, Cedartown, GA, 30176-1340
person
Provider Profile Details
NPI Number
1184099947
Provider Name
Gerald Shepard
Credential
CACI
Provider Entity Type
Individual
Gender
Male
Address
180 Water Oak Dr, Cedartown, GA, 30176-1340
Phone Number
770-748-2225
Fax Number
Provider Enumeration Date
12/04/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
180 Water Oak Dr
City
State
Zip
30125-2095
Phone Number
770-748-2225
Fax Number
person
Provider Business Mailing Address Details
Address
180 Water Oak Dr
City
State
Zip
30125-2095
Phone Number
770-748-2225
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
3114 (Georgia)
Definition
Definition to come...
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