person
Mrs. Demetrious Thomas Shepard, LPC
Professional Counselor in Jacksonville, North Carolina
NPI 1477618098

Demetrious Thomas Shepard is a Professional Counselor based in Jacksonville, NC and is specialized in Professional. Demetrious Thomas Shepard practices in Jacksonville, NC and has the professional credentials of LPC. The NPI Number for Demetrious Thomas Shepard is 1477618098 and holds a License No. 4611 (North Carolina).

The current practice location address for Demetrious Thomas Shepard is 824 Gum Branch Rd Ste E, Jacksonville, NC and can be reached out via phone at 910-327-1694 and via fax at 910-347-3694.

Location: 824 Gum Branch Rd Ste E, Jacksonville, NC, 28540
person
Provider Profile Details
NPI Number
1477618098
Provider Name
Demetrious Thomas Shepard
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
824 Gum Branch Rd Ste E, Jacksonville, NC, 28540
Phone Number
910-327-1694
Fax Number
910-347-3694
Provider Enumeration Date
12/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1378X 01 NC BCBS
6102002 05 NC
institution
Provider Business Practice Location Address Details
Address
824 Gum Branch Rd Ste E
City
State
Zip
28540-6270
Phone Number
910-327-1694
Fax Number
910-347-3694
person
Provider Business Mailing Address Details
Address
824 Gum Branch Rd Ste E
City
State
Zip
28540-6270
Phone Number
910-327-1694
Fax Number
910-347-3694
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
4611 (North Carolina)
Definition
Definition to come...
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