person
Mr. Gary Shepherd, LPC
Mental Health Counselor in Farmville, Virginia
NPI 1639590763

Gary Shepherd is a Mental Health Counselor based in Farmville, VA and is specialized in Mental Health. Gary Shepherd practices in Farmville, VA and has the professional credentials of LPC. The NPI Number for Gary Shepherd is 1639590763 and holds a License No. 0701005670 (Virginia).

The current practice location address for Gary Shepherd is 214 Bush River Dr, Farmville, VA and can be reached out via phone at 434-392-3187 and via fax at 434-392-5789.

Location: 214 Bush River Dr, Farmville, VA, 23901-3179
person
Provider Profile Details
NPI Number
1639590763
Provider Name
Gary Shepherd
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
214 Bush River Dr, Farmville, VA, 23901-3179
Phone Number
434-392-3187
Fax Number
434-392-5789
Provider Enumeration Date
12/16/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
540988560 01 VA COMMERCIAL
institution
Provider Business Practice Location Address Details
Address
214 Bush River Dr
City
State
Zip
23901-3179
Phone Number
434-392-3187
Fax Number
434-392-5789
person
Provider Business Mailing Address Details
Address
214 Bush River Dr
City
State
Zip
23901-3179
Phone Number
434-392-3187
Fax Number
434-392-5789
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
0701005670 (Virginia)
Definition
Definition to come...
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