person
Ethan Christopher Shepherd
Addiction (Substance Use Disorder) Counselor in Portsmouth, Ohio
NPI 1871236687

Ethan Christopher Shepherd is an Addiction (Substance Use Disorder) Counselor based in Cincinnati, OH and is specialized in Addiction (Substance Use Disorder). Ethan Christopher Shepherd practices in Portsmouth, OH. The NPI Number for Ethan Christopher Shepherd is 1871236687 and holds a License No. CDCA.179916 (Ohio).

The current practice location address for Ethan Christopher Shepherd is 1907 11Th St, Portsmouth, OH and can be reached out via phone at 513-941-4999 and via fax at 513-694-0168.

Location: 1907 11Th St, Portsmouth, OH, 45247-7958
person
Provider Profile Details
NPI Number
1871236687
Provider Name
Ethan Christopher Shepherd
Credential
Provider Entity Type
Individual
Gender
Male
Address
1907 11Th St, Portsmouth, OH, 45247-7958
Phone Number
513-941-4999
Fax Number
513-694-0168
Provider Enumeration Date
04/19/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0483357 05 OH
institution
Provider Business Practice Location Address Details
Address
1907 11Th St
City
State
Zip
45662-4531
Phone Number
513-941-4999
Fax Number
513-694-0168
person
Provider Business Mailing Address Details
Address
1907 11Th St
City
State
Zip
45662-4531
Phone Number
513-941-4999
Fax Number
513-694-0168
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
APS.003292 (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
CDCA.179916 (Ohio)
Definition
Definition to come...
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