person
Mrs. Linda Marie Shepard, CADC-CAS
Addiction (Substance Use Disorder) Counselor in Modesto, California
NPI 1982112520

Linda Marie Shepard is an Addiction (Substance Use Disorder) Counselor based in Modesto, CA and is specialized in Addiction (Substance Use Disorder). Linda Marie Shepard practices in Modesto, CA and has the professional credentials of CADC-CAS. The NPI Number for Linda Marie Shepard is 1982112520 and holds a License No. C12301214 (California).

The current practice location address for Linda Marie Shepard is 1405 11Th St, Modesto, CA and can be reached out via phone at 209-284-0970.

Location: 1405 11Th St, Modesto, CA, 95351-2102
person
Provider Profile Details
NPI Number
1982112520
Provider Name
Linda Marie Shepard
Credential
CADC-CAS
Provider Entity Type
Individual
Gender
Female
Address
1405 11Th St, Modesto, CA, 95351-2102
Phone Number
209-284-0970
Fax Number
Provider Enumeration Date
01/17/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1104372176 05 CA
institution
Provider Business Practice Location Address Details
Address
1405 11Th St
City
State
Zip
95354-0748
Phone Number
209-284-0970
Fax Number
person
Provider Business Mailing Address Details
Address
1405 11Th St
City
State
Zip
95354-0748
Phone Number
209-284-0970
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
C12301214 (California)
Definition
Definition to come...
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