Jody Shepard is a Counselor based in Baton Rouge, LA. Jody Shepard practices in Baton Rouge, LA. The NPI Number for Jody Shepard is 1790204634 and holds a License No. (Louisiana).
The current practice location address for Jody Shepard is 1251 N Ardenwood Dr Apt 26, Baton Rouge, LA and can be reached out via phone at 504-799-5085.
Location: 1251 N Ardenwood Dr Apt 26, Baton Rouge, LA, 70806-1935
Provider Profile Details
NPI Number
1790204634
Provider Name
Jody Shepard
Credential
Provider Entity Type
Individual
Gender
Male
Address
1251 N Ardenwood Dr Apt 26, Baton Rouge, LA, 70806-1935
Phone Number
504-799-5085
Fax Number
Provider Enumeration Date
09/12/2017
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000 | 05 | LA |
Provider Business Practice Location Address Details
Address
1251 N Ardenwood Dr Apt 26
City
State
Zip
70806-1935
Phone Number
504-799-5085
Fax Number
Provider Business Mailing Address Details
Address
1251 N Ardenwood Dr Apt 26
City
State
Zip
70806-1935
Phone Number
504-799-5085
Fax Number
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
(Louisiana)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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