| Derrick Eugene Shepherd, | |
|
1229 Broadway St, Richvale, CA 95974 | |
| (530) 882-4125 | |
| (530) 894-5791 |
| Full Name | Derrick Eugene Shepherd |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 1229 Broadway St, Richvale, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639711310 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Derrick Eugene Shepherd, 350 Main St, Quincy, CA 95971 Ph: (530) 283-3330 | Derrick Eugene Shepherd, 1229 Broadway St, Richvale, CA 95974 Ph: (530) 882-4125 |
Mr. Joseph Ezra Ilaoa, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1229 Broadway St, Richvale, CA 95974 Phone: 530-283-3330 | |
Ms. Allison Emily Adams, AMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1229 Broadway, Richvale, CA 95974 Phone: 350-283-3330 Fax: 530-231-0265 |